RAJNI WALLIA MD
NPI 1942398219
Internal Medicine - Nephrology in Clairton, PA

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
575 COAL VALLEY RD, STE 264, CLAIRTON, PA 15025(412) 466-2220(412) 466-4048 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rajni Wallia Md NPPES

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

RAJNI WALLIA MD (NPI 1942398219) is an individual nephrology provider in Clairton, Pennsylvania, licensed in Pennsylvania (MD038478L) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1942398219
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameRAJNI WALLIACredential: MD
Location Address575 COAL VALLEY RD, STE 264Clairton, PA 15025-3716
Mailing Address575 Coal Valley Rd, Ste 264Clairton, PA 15025-3716 · (412) 466-2220 · Fax (412) 466-4048
Fax(412) 466-4048
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateOctober 11, 2006
Last NPPES UpdateJanuary 6, 2017
✔ NPI 1942398219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD038478L
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
575 COAL VALLEY RD, Clairton, PA 15025

Other Identifiers 3

Medicaid0010585890002PA
Medicare UPINC33926
Medicare PIN427755T33PA

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

Rajni Wallia 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 ID941248934
PECOS Enrollment IDI20050420000866
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 Rajni Wallia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3089 SUSSEX AVE
Pittsburgh, PA 15226
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Gastroenterology
2112 HARRISBURG PIKE STE 202
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 343 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.

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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
575 COAL VALLEY RD, SUITE 405
CLAIRTON, PA 15025
Surgery (Vascular Surgery)
575 COAL VALLEY RD, SUITE 365
CLAIRTON, PA 15025
Durable Medical Equipment & Medical Supplies
575 COAL VALLEY RD, SUITE 404
CLAIRTON, PA 15025
Physician Assistant
575 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Psychiatry & Neurology (Psychiatry)
575 COAL VALLEY RD, STE 303
CLAIRTON, PA 15025
Nurse Practitioner
575 COAL VALLEY RD, SUITE EG-01
CLAIRTON, PA 15025
Physical Therapist
575 COAL VALLEY RD, MEDICAL OFFICE BUILDING # 105
CLAIRTON, PA 15025
Psychologist
575 COAL VALLEY RD, SUITE 203
CLAIRTON, PA 15025

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 Rajni Wallia's NPI number?

The NPI number for Rajni Wallia is 1942398219. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Rajni Wallia located?

Rajni Wallia practices at 575 Coal Valley Rd Ste 264, Clairton, PA 15025. The listed phone number is (412) 466-2220.

What is Rajni Wallia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rajni Wallia enrolled in Medicare?

Yes. Rajni Wallia 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 Rajni Wallia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajni Wallia reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Regional Gastroenterology Associates Of Lancaster, Ltd. (Lancaster, PA). 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 Rajni Wallia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rajni Wallia affiliated with any hospitals?

According to CMS data, Rajni Wallia is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Rajni Wallia was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.