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MELANIE RAJKUMAR M.D.
NPI 1962847434
Emergency Medicine in Mason City, IA

Active since May 09, 2013PECOS Enrolled
101 S TAYLOR AVE, MASON CITY, IA 50401(641) 428-7766(641) 428-7788 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2023, Jul 19, 2017 (2 updates tracked since 2017).

About Melanie Rajkumar M.d. NPPES

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

MELANIE RAJKUMAR M.D. (NPI 1962847434) is an individual emergency medicine provider in Mason City, Iowa, licensed in Pennsylvania (MD477565) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962847434
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMELANIE RAJKUMARCredential: M.D.
Location Address101 S TAYLOR AVEMason City, IA 50401-2849
Mailing Address3926 New Vision DrFort Wayne, IN 46845-1712 · (260) 266-8210 · Fax (260) 458-5636
Phone(641) 428-7766
Fax(641) 428-7788
Sole ProprietorNo
Enumeration DateMay 9, 2013
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1962847434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD477565✔ Licensed in IN · 01078213
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License R-9626 (IA)
101 S TAYLOR AVE, Mason City, IA 50401
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Other Identifiers 1

Medicaid104042217-0001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie Rajkumar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.
236 services223 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.
86 services85 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
27 services27 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 4

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

DAVID H HANSON MD
Family Medicine
101 S TAYLOR AVE
MASON CITY, IA 50401
Cerro Gordo County (641) 422-7766
WEI SONG MD
Family Medicine
101 S TAYLOR AVE
MASON CITY, IA 50401
Cerro Gordo County (641) 422-7779
AMIR BASHAR MD
Family Medicine
101 S TAYLOR AVE
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766
KASEY K CLOWE M.D.
Student in an Organized Health Care Education/Training Program
101 S TAYLOR AVE
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766

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 Melanie Rajkumar's NPI number?

The NPI number for Melanie Rajkumar is 1962847434. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Melanie Rajkumar located?

Melanie Rajkumar practices at 101 S Taylor Ave, Mason City, IA 50401. The listed phone number is (641) 428-7766.

What is Melanie Rajkumar's specialty?

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

Is Melanie Rajkumar enrolled in Medicare?

Yes. Melanie Rajkumar is registered in the Medicare PECOS enrollment system.

What insurance does Melanie Rajkumar accept?

Health plans from CareSource list Melanie Rajkumar 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.

When was this NPI record last updated?

The NPPES record for Melanie Rajkumar was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.