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DR. OPAL REGINA RAJ MD
NPI 1902154511
Anesthesiology in Houston, TX

Active since August 29, 2012PECOS EnrolledAccepts Medicare Assignment
93.5/100
CMS Quality Rating
6565 FANNIN ST # B452, HOUSTON, TX 77030(713) 441-3492 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 31, 2023, Mar 21, 2019, Jul 30, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Opal Regina Raj Md NPPES

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

DR. OPAL REGINA RAJ MD (NPI 1902154511) is an individual anesthesiology provider in Houston, Texas, licensed in Texas (S5743) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902154511
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. OPAL REGINA RAJCredential: MD
Location Address6565 FANNIN ST # B452Houston, TX 77030-2703
Mailing Address6565 Fannin St # B452Houston, TX 77030-2703 · (713) 441-3492
Phone(713) 441-3492
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 29, 2012
Last NPPES UpdateMay 31, 20234 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
✔ NPI 1902154511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in TX · S5743✔ Licensed in FL · ME126554
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
6565 FANNIN ST # B452, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare.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

Dr. Opal Regina Raj 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 ID6406134675
PECOS Enrollment IDI20200929001209
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 8

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.

Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
32 services32 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
26 services25 patients
Anesthesia for insertion of permanent heart pacemaker 00530
Anesthesia for a permanent heart pacemaker insertion helps to ensure comfort and calmness during the procedure. It's typically a local anesthetic, numbing the area where the pacemaker is inserted. Sedation may also be given to help you relax. You'll be awake, but may not remember the procedure.
21 services21 patients
Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope 00918
This procedure involves using anesthesia to ensure comfort while a special instrument called an endoscope helps to locate, break up, and possibly remove kidney stones. The endoscope is a thin, flexible tube which is gently inserted and navigated to the area of concern.
13 services13 patients
Anesthesia for procedure on heart and large blood vessels 00560
Anesthesia for heart and large blood vessel procedures involves using medications to block sensation, ensuring you don't feel pain during surgery. It can be general (you're asleep) or regional (part of your body is numbed). It helps ensure comfort and safety throughout the operation.
12 services12 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

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.

93.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

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.

ERNST ETIENNE P.A.
Physician Assistant
6565 FANNIN ST # B452
HOUSTON, TX 77030
Harris County (713) 441-3620
JANALEI EVE STOVALL ACNP
Nurse Practitioner (Acute Care)
6565 FANNIN ST # B452
HOUSTON, TX 77030
Harris County (713) 441-3620
PHILLIP WAYNE BOWDEN N.P.
Nurse Practitioner
6565 FANNIN ST # B452
HOUSTON, TX 77030
Harris County (713) 441-3620
MERINA THOMAS MD
Student in an Organized Health Care Education/Training Program
6565 FANNIN ST # B452
HOUSTON, TX 77030
Harris County (713) 441-3492
MRS. DIANE MARIE GARIB ACNP
Nurse Practitioner (Acute Care)
6565 FANNIN ST # B452
HOUSTON, TX 77030
Harris County (713) 441-3620
EMILY ANNE LEONARD MD
Student in an Organized Health Care Education/Training Program
6565 FANNIN ST # B452
HOUSTON, TX 77030
Harris County (713) 441-3492

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 Opal Raj's NPI number?

The NPI number for Opal Raj is 1902154511. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Opal Raj located?

Opal Raj practices at 6565 Fannin St # B452, Houston, TX 77030. The listed phone number is (713) 441-3492.

What is Opal Raj's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Opal Raj enrolled in Medicare?

Yes. Opal Raj 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 Opal Raj accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Opal Raj 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 Opal Raj affiliated with any hospitals?

According to CMS data, Opal Raj is affiliated with Houston Methodist Hospital and Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Opal Raj was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.