DR. HARISH RAJA MD
NPI 1811251853
Ophthalmology in South Miami, FL
About Dr. Harish Raja Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HARISH RAJA MD (NPI 1811251853) is an individual ophthalmology provider in South Miami, Florida, licensed in Florida (ME138112) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Icahn School Of Medicine At Mount Sinai (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Harish Raja Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Harish Raja reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Miami, FL 33143
- Reassigned Medicare billing, Florida enrollment
- 14 clinicians in this Medicare group
Peabody, MA 01960
- Reassigned Medicare billing, Massachusetts enrollment
- 19 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 129 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Harish Raja's NPI number?
The NPI number for Harish Raja is 1811251853. It was assigned to this individual provider in the NPPES registry on June 25, 2012.
Where is Harish Raja located?
Harish Raja practices at 5858 SW 68th St, South Miami, FL 33143. The listed phone number is (305) 661-8588.
What is Harish Raja's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Harish Raja enrolled in Medicare?
Yes. Harish Raja 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.
Which organizations bill Medicare for Harish Raja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Harish Raja reassigns Medicare benefits to 3 organizations: A James Segal MD PA Medeyeassociates (South Miami, FL), Microsurgical Eye Consultants (Peabody, MA) and Regents Of The University Of California (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Harish Raja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Harish Raja accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Harish Raja 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.
When was this NPI record last updated?
The NPPES record for Harish Raja was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Harish Raja, MD · NPI 1811251853
Ophthalmology physician in South Miami, Florida. Individual provider, active in the CMS NPPES registry since June 25, 2012.
## Identity
- **NPI:** 1811251853 (Entity type: Individual)
- **Enumerated:** June 25, 2012
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** ME138112 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 5858 SW 68TH ST, South Miami, FL 33143-3693
- **Phone:** (305) 661-8588
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): A James Segal MD PA Medeyeassociates (NPI 1710907522, South Miami, FL); Microsurgical Eye Consultants (NPI 1922108711, Peabody, MA); Regents Of The University Of California (NPI 1699877621, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Icahn School Of Medicine At Mount Sinai, class of 2012
## Record status
- **NPPES last updated:** January 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1811251853) · Data from the CMS NPPES public registry.