NR DEVARAJ MD INC
NPI 1821175118
Specialist in Anaheim, CA

Active since November 01, 2006
3356 W. BALL RD SUITE 205, ANAHEIM, CA 92804(714) 952-0958(714) 952-0719 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2020, Sep 28, 2020 (2 updates tracked since 2020).

About Nr Devaraj Md Inc NPPES

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

NR DEVARAJ MD INC (NPI 1821175118) is a healthcare organization registered as a specialist in Anaheim, California and active in the NPI registry since November 2006. The organization lists Rosie Frausto, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1821175118
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNR DEVARAJ MD INC
Location Address3356 W. BALL RD SUITE 205Anaheim, CA 92804-3737
Mailing Address3356 W Ball Rd Suite 205Anaheim, CA 92804-3737 · (714) 952-0958 · Fax (714) 952-0719
Fax(714) 952-0719
Organization SubpartNo
Authorized OfficialRosie FraustoPractice Manager · (714) 952-0958
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1821175118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A34201
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3356 W. BALL RD SUITE 205, Anaheim, CA 92804

Other Identifiers 1

Medicaid00A342010CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nr Devaraj Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nr Devaraj MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1639133960
3400 W BALL RD STE 204
Anaheim, CA 92804
(714) 952-0958
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nr Devaraj MD Inc's NPI number?

The NPI number for Nr Devaraj MD Inc is 1821175118. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Nr Devaraj MD Inc located?

Nr Devaraj MD Inc is located at 3356 W. Ball Rd Suite 205, Anaheim, CA 92804. The listed phone number is (714) 952-0958.

What is Nr Devaraj MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nr Devaraj MD Inc enrolled in Medicare?

Yes. Nr Devaraj MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nr Devaraj MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Nr Devaraj MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nr Devaraj MD Inc was last updated on October 8, 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.