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DR. RAJA R TALATI MD
NPI 1942254412
Family Medicine in Port St Lucie, FL

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
1801 SE HILLMOOR DR STE C-207, PORT ST LUCIE, FL 34952(772) 742-9270(772) 335-4236 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2022, Jan 21, 2022 (2 updates tracked since 2022).

About Dr. Raja R Talati Md NPPES

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

DR. RAJA R TALATI MD (NPI 1942254412) is an individual family medicine provider in Port St Lucie, Florida, licensed in Florida (ME 87361) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains a secondary practice location in Fort Pierce.

NPPES Registry Identity

NPI1942254412
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAJA R TALATICredential: MD
Location Address1801 SE HILLMOOR DR STE C-207Port St Lucie, FL 34952-7574
Mailing Address3255 S Federal HwyFort Pierce, FL 34982-6381 · (772) 742-9270 · Fax (772) 772-3354
Phone(772) 742-9270
Fax(772) 335-4236
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 20, 2006
Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1942254412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME 87361
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1801 SE HILLMOOR DR STE C-207, Port St Lucie, FL 34952
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Secondary Practice Location 1

Location 1356 E Midway RdFort Pierce, FL 34982-7148 · Phone (772) 464-9746 · Fax (772) 464-9750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.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. Raja R Talati 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 ID7113820614
PECOS Enrollment IDI20040131000007
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

2

Medicare enrollment records show Raja Talati reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midway Primary Care LLC
5.4 mi
Internal Medicine
3255 S US HIGHWAY 1
Fort Pierce, FL 34982
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1598114779 (772) 742-9470
Midway Specialty Care Center Inc
6.4 mi
Infectious Disease
356 E MIDWAY RD
Fort Pierce, FL 34982
  • Reassigned Medicare billing, Florida enrollment
  • 49 clinicians in this Medicare group
NPI 1376970814 (772) 464-9746

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
503 services188 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
46 services46 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.
37 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims14 services$6.72 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 2

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

ANGELA RENEA TRODGLEN APRN
Nurse Practitioner
1801 SE HILLMOOR DR STE C-207
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-4234
TYLER JUSTIN SMITH DNP, FNP-BC
Nurse Practitioner (Family)
1801 SE HILLMOOR DR STE C-207
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 335-4234

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 Raja Talati's NPI number?

The NPI number for Raja Talati is 1942254412. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Raja Talati located?

Raja Talati practices at 1801 SE Hillmoor Dr Ste C-207, Port St Lucie, FL 34952. The listed phone number is (772) 742-9270.

What is Raja Talati's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raja Talati enrolled in Medicare?

Yes. Raja Talati 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 Raja Talati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raja Talati reassigns Medicare benefits to 2 organizations: Midway Primary Care LLC (Fort Pierce, FL) and Midway Specialty Care Center Inc (Fort Pierce, FL). 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 Raja Talati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raja Talati accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Raja Talati 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 Raja Talati affiliated with any hospitals?

According to CMS data, Raja Talati is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Raja Talati was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.