AJAY RAWAL MD
NPI 1831281641
Pathology - Anatomic Pathology & Clinical Pathology in St. Paul, MN

Q: What is Ajay Rawal's NPI number?

The NPI number for Ajay Rawal is 1831281641. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Ajay Rawal's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Ajay Rawal was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment

640 JACKSON ST - MC 11103E, HEHEALTHPARTNERS REGIONS SPECIALTY CLINICS, ST. PAUL, MN 55101(651) 254-4796(651) 254-2741 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ajay Rawal Md NPPES

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

AJAY RAWAL MD (NPI 1831281641) is an individual anatomic pathology & clinical pathology provider in St. Paul, Minnesota, licensed in Minnesota (51629) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in St Louis Park.

NPPES Registry Identity

NPI1831281641

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameAJAY RAWALCredential: MD

Location Address640 JACKSON ST - MC 11103E, HEHEALTHPARTNERS REGIONS SPECIALTY CLINICSSt. Paul, MN 55101-2502

Mailing Address8170 33rd Ave S, Ms21110qMinneapolis, MN 55425-4516 · (952) 883-5375 · Fax (651) 254-2741

Phone(651) 254-4796

Fax(651) 254-2741

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateSeptember 29, 2006

Last NPPES UpdateMarch 11, 2021

NPPES CertifiedMarch 11, 2021

✔ NPI 1831281641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in MN · 51629✔ Licensed in MI · 4301082780

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

640 JACKSON ST - MC 11103E, St. Paul, MN 55101

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Secondary Practice Location 1

Location 16500 Excelsior BlvdSt Louis Park, MN 55426-4702 · Phone (952) 993-5000

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

Ajay Rawal 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.

PECOS PAC ID3971654179

PECOS Enrollment IDI20090630000063

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.

Medicare Billing Reassignments

Medicare enrollment records show Ajay Rawal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.

1.3 mi

Pediatric Dentistry

205 WABASHA ST S
Saint Paul, MN 55107

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1801941943 (651) 227-3757

Park Nicollet Clinic

9.0 mi

Family Medicine

1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1912315144 (952) 977-0700

Park Nicollet Methodist Hospital

13 mi

Nurse Anesthetist, Certified Registered

6500 EXCELSIOR BLVD
St Louis Park, MN 55426

Reassigned Medicare billing, Minnesota enrollment
146 clinicians in this Medicare group

NPI 1083622047 (952) 993-5000

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 15

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

847 services466 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

177 services48 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

90 services79 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

58 services41 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

48 services44 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

41 services29 patients

Bone marrow, smear interpretation 85097

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

40 services37 patients

Flow cytometry technique for dna or cell analysis, 9 to 15 markers 88188

Flow cytometry is a technique used to measure physical and chemical characteristics of cells or particles. It can analyze multiple markers (9 to 15) on a cell, helping to identify its type and function. This process can also examine DNA within cells for any abnormalities.

27 services26 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

27 services25 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

24 services24 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

23 services23 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

23 services16 patients

Genetic sequencing localization, initial procedure 88365

Genetic sequencing localization is a process to identify where specific genes are located in your DNA. During the initial procedure, a sample of your cells is collected, usually through a simple swab or blood test. This data is then analyzed to pinpoint the location of certain genes. This can help understand your genetic makeup and potential health risks.

17 services16 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers 88189

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

16 services15 patients

Genetic sequencing localization, each additional procedure 88364

Genetic sequencing localization is a process where specific regions of your DNA are identified and studied. If you're having additional procedures, it simply means that more areas of your DNA are being examined. This helps to understand your genetic makeup better and can assist in identifying potential health risks.

16 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240056

Location500 South Maple StreetWaconia, MN 55387 · Carver County

Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240106

Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County

Emergency services Birthing friendly

Hutchinson Health

Acute Care Hospitals · Hutchinson, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240187

Location1095 Highway 15 SouthHutchinson, MN 55350 · Mc Leod County

Emergency services Birthing friendly

Olivia Hospital & Clinic

Critical Access Hospitals · Olivia, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241306

Location100 Healthy WayOlivia, MN 56277 · Renville County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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 Ajay Rawal's NPI number?

The NPI number for Ajay Rawal is 1831281641. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Ajay Rawal located?

Ajay Rawal practices at 640 Jackson St - Mc 11103E Hehealthpartners Regions Specialty Clinics, St. Paul, MN 55101. The listed phone number is (651) 254-4796.

What is Ajay Rawal's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Ajay Rawal enrolled in Medicare?

Yes. Ajay Rawal 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 Ajay Rawal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Rawal reassigns Medicare benefits to 3 organizations: Group Health, Inc. (Saint Paul, MN), Park Nicollet Clinic (Minneapolis, MN) and Park Nicollet Methodist Hospital (St Louis Park, MN). 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 Ajay Rawal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ajay Rawal affiliated with any hospitals?

According to CMS data, Ajay Rawal is affiliated with Park Nicollet Methodist Hospital, Ridgeview Medical Center, Regions Hospital, Hutchinson Health and Olivia Hospital & Clinic.

When was this NPI record last updated?

The NPPES record for Ajay Rawal was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.