RAJARATNAM PATHMARAJAH MD
NPI 1891882346
Internal Medicine in Middletown, OH

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
6730 ROOSEVELT AVE STE 303, MIDDLETOWN, OH 45005(513) 874-0486(513) 280-8868 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rajaratnam Pathmarajah Md NPPES

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

RAJARATNAM PATHMARAJAH MD (NPI 1891882346) is an individual internal medicine provider in Middletown, Ohio, licensed in Ohio (35-087707) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Fort Hamilton Hughes Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1891882346
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAJARATNAM PATHMARAJAHCredential: MD
Location Address6730 ROOSEVELT AVE STE 303Middletown, OH 45005-0017
Mailing AddressPo Box 229Miamisburg, OH 45343-0229 · (513) 874-0486 · Fax (513) 280-8868
Fax(513) 280-8868
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 6, 2006
Last NPPES UpdateApril 19, 2017
NPI 1891882346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35-087707
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 ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License 35.087707 (OH)
Also ListedHospitalistTaxonomy 208M00000X · License 35-087707 (OH)
6730 ROOSEVELT AVE STE 303, Middletown, OH 45005

Other Identifiers 8

Other000000519937Bcbs Fairfield Hos
Medicaid7100198040KY
Other317497Amerigroup
Medicaid2700545OH
Medicaid201035790IN
OtherP01013479OH · Rr Medicare
Medicare PIN4192672OH
Medicare PINH006250OH

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

Rajaratnam Pathmarajah 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 ID1850398504
PECOS Enrollment IDI20061023000327
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 10

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.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,049 services304 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
479 services203 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
279 services252 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
171 services162 patients
Hospital observation care on day of discharge 99217
Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
65 services65 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.87
Improvement Activities0
Cost74.28

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers44 claims44 services$14.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers55 claims55 services$67.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Internal Medicine
6730 ROOSEVELT AVE STE 303
MIDDLETOWN, OH 45005
Internal Medicine
6730 ROOSEVELT AVE STE 303
MIDDLETOWN, OH 45005
Internal Medicine
6730 ROOSEVELT AVE STE 303
MIDDLETOWN, OH 45005
Family Medicine
6730 ROOSEVELT AVE STE 303
MIDDLETOWN, OH 45005
Family Medicine
6730 ROOSEVELT AVE STE 303
MIDDLETOWN, OH 45005
Internal Medicine
6730 ROOSEVELT AVE STE 303
MIDDLETOWN, OH 45005
Nurse Practitioner (Family)
6730 ROOSEVELT AVE STE 303
MIDDLETOWN, OH 45005
Family Medicine
6730 ROOSEVELT AVE STE 303
MIDDLETOWN, OH 45005

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 Rajaratnam Pathmarajah's NPI number?

The NPI number for Rajaratnam Pathmarajah is 1891882346. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Rajaratnam Pathmarajah located?

Rajaratnam Pathmarajah practices at 6730 Roosevelt Ave Ste 303, Middletown, OH 45005. The listed phone number is (513) 874-0486.

What is Rajaratnam Pathmarajah's specialty?

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

Is Rajaratnam Pathmarajah enrolled in Medicare?

Yes. Rajaratnam Pathmarajah 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.

Is Rajaratnam Pathmarajah affiliated with any hospitals?

According to CMS data, Rajaratnam Pathmarajah is affiliated with Fort Hamilton Hughes Memorial Hospital and Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Rajaratnam Pathmarajah was last updated on April 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.