DR. RAJ GONDALIA M.D.
NPI 1962761007
Radiology - Vascular & Interventional Radiology in Raleigh, NC
About Dr. Raj Gondalia M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAJ GONDALIA M.D. (NPI 1962761007) is an individual vascular & interventional radiology provider in Raleigh, North Carolina, licensed in North Carolina (2016-02194) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Unc Rockingham, and is a graduate of Duke University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
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 Gondalia 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.
Medicare Billing Reassignments
2Medicare enrollment records show Raj Gondalia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27609
- Reassigned Medicare billing, North Carolina enrollment
- 67 clinicians in this Medicare group
Raleigh, NC 27609
- Reassigned Medicare billing, North Carolina enrollment
- 70 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 40
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unc Rockingham
Acute Care Hospitals · Eden, NCJohnston Health
Acute Care Hospitals · Smithfield, NCRex Hospital
Acute Care Hospitals · Raleigh, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Gondalia's NPI number?
The NPI number for Raj Gondalia is 1962761007. It was assigned to this individual provider in the NPPES registry on May 10, 2012.
Where is Raj Gondalia located?
Raj Gondalia practices at 3949 Browning Pl, Raleigh, NC 27609. The listed phone number is (919) 787-7411.
What is Raj Gondalia's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Raj Gondalia enrolled in Medicare?
Yes. Raj Gondalia 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 Gondalia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raj Gondalia reassigns Medicare benefits to 2 organizations: Wake Radiology Consultants PA (Raleigh, NC) and Wake Radiology Diagnostic Imaging Inc. (Raleigh, NC). 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 Gondalia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raj Gondalia accept?
Health plans from Cigna Healthcare list Raj Gondalia 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 Gondalia affiliated with any hospitals?
According to CMS data, Raj Gondalia is affiliated with Unc Rockingham, Johnston Health and Rex Hospital.
When was this NPI record last updated?
The NPPES record for Raj Gondalia was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.