DR. RAJ A. GADHIA M.D.
NPI 1922368976
Emergency Medicine in Brockton, MA

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment
680 CENTRE ST, BROCKTON, MA 02302(508) 941-7400 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2022, Jul 15, 2016 (2 updates tracked since 2016).

About Dr. Raj A. Gadhia M.d. NPPES

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

DR. RAJ A. GADHIA M.D. (NPI 1922368976) is an individual emergency medicine provider in Brockton, Massachusetts, licensed in Virginia (0101260017) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and maintains a secondary practice location in Arlington.

NPPES Registry Identity

NPI1922368976
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RAJ A. GADHIACredential: M.D.
Location Address680 CENTRE STBrockton, MA 02302-3308
Mailing Address680 Centre St Ste 200Brockton, MA 02302-3308 · (508) 941-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 24, 2012
Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1922368976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0101260017✔ Licensed in MA · 288007
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
680 CENTRE ST, Brockton, MA 02302

Secondary Practice Location 1

Location 11701 N George Mason Dr, Virginia Hospital Center Emergency DepartmentArlington, VA 22205-3610 · Phone (703) 558-5000

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. Raj A. Gadhia M.d. 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 ID9537455076
PECOS Enrollment IDI20211104001225
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

11

Medicare enrollment records show Raj Gadhia reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
680 CENTRE ST
Brockton, MA 02302
  • Reassigned Medicare billing, Massachusetts enrollment
  • 81 clinicians in this Medicare group
Internal Medicine
110 LIBERTY ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 409 clinicians in this Medicare group
Emergency Medicine
2014 WASHINGTON ST
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Newton Wellesley Emergency Medicine Specialist PC
  • 46 clinicians in this Medicare group
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
Critical Access
420 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 544 clinicians in this Medicare group
Urgent Care
6317 YORK RD
Baltimore, MD 21212
  • Reassigned Medicare billing, District of Columbia enrollment
  • 309 clinicians in this Medicare group
Health Maintenance Organization
888 BESTGATE ROAD
Annapolis, MD 21401
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,492 clinicians in this Medicare group
Emergency Medicine
15001 HEALTH CENTER DR
Bowie, MD 20716
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
  • 1,150 clinicians in this Medicare group
Emergency Medicine
44045 RIVERSIDE PARKWAY, LOUDOUN HOSPITAL CENTER
Leesburg, VA 20176
  • Reassigned Medicare billing, District of Columbia enrollment
  • 134 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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
31 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02302 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302
Physician Assistant
680 CENTRE ST
BROCKTON, MA 02302
Counselor (Mental Health)
680 CENTRE ST
BROCKTON, MA 02302
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Student in an Organized Health Care Education/Training Program
680 CENTRE ST
BROCKTON, MA 02302
Pathology (Anatomic Pathology & Clinical Pathology)
680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Social Worker
680 CENTRE ST
BROCKTON, MA 02302

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 Raj Gadhia's NPI number?

The NPI number for Raj Gadhia is 1922368976. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Raj Gadhia located?

Raj Gadhia practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7400.

What is Raj Gadhia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Raj Gadhia enrolled in Medicare?

Yes. Raj Gadhia 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 Raj Gadhia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raj Gadhia reassigns Medicare benefits to 11 organizations: Brockton Hospital, Inc. (Brockton, MA), Signature Healthcare Medical Group Inc (Brockton, MA), Newton Wellesley Emergency Medicine Specialist, P .C. (Newton, MA), Bridgton Hospital (Bridgton, ME), Central Maine Medical Center (Lewiston, ME) and 6 more organizations, listed in the Medicare section above. 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 Raj Gadhia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raj Gadhia accept?

Health plans from Taro Health list Raj Gadhia 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 Raj Gadhia affiliated with any hospitals?

According to CMS data, Raj Gadhia is affiliated with Signature Healthcare Brockton Hospital.

When was this NPI record last updated?

The NPPES record for Raj Gadhia was last updated on December 8, 2022. 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.