RAJ SHIVAJI M.D.
NPI 1770508160
Internal Medicine in Florissant, MO

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
1225 GRAHAM RD, FLORISSANT, MO 63031(314) 953-6000 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Raj Shivaji M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAJ SHIVAJI M.D. (NPI 1770508160) is an individual internal medicine provider in Florissant, Missouri, licensed in Texas (T4849) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1770508160
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRAJ SHIVAJICredential: M.D.
Location Address1225 GRAHAM RDFlorissant, MO 63031-8014
Mailing Address75 Remit Drive, Lockbox 6804Chicago, IL 60675-6804 · (866) 916-5259 · Fax (231) 922-4030
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
NPI 1770508160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · T4849
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036-097085 (IL), 111366 (MO), 62808 (NJ)
1225 GRAHAM RD, Florissant, MO 63031

Other Identifiers 1

Medicaid204666937MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Raj Shivaji M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355330457
PECOS Enrollment IDI20220704000030
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
188 services85 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
53 services44 patients
Assessment of and care planning for impaired thought processing, typically 50 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1225 GRAHAM RD
FLORISSANT, MO 63031
Emergency Medicine
1225 GRAHAM RD
FLORISSANT, MO 63031
Emergency Medicine
1225 GRAHAM RD
FLORISSANT, MO 63031
Emergency Medicine
1225 GRAHAM RD
FLORISSANT, MO 63031
Emergency Medicine
1225 GRAHAM RD
FLORISSANT, MO 63031
General Acute Care Hospital
1225 GRAHAM RD
FLORISSANT, MO 63031
Nurse Practitioner
1225 GRAHAM RD
FLORISSANT, MO 63031
Clinic/Center (Primary Care)
1225 GRAHAM RD, SUITE 220
FLORISSANT, MO 63031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raj Shivaji's NPI number?

The NPI number for Raj Shivaji is 1770508160. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Raj Shivaji located?

Raj Shivaji practices at 1225 Graham Rd, Florissant, MO 63031. The listed phone number is (314) 953-6000.

What is Raj Shivaji's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raj Shivaji enrolled in Medicare?

Yes. Raj Shivaji is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raj Shivaji accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Raj Shivaji as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raj Shivaji affiliated with any hospitals?

According to CMS data, Raj Shivaji is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Raj Shivaji was last updated on September 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.