Rajiv Pathak, M.D.
NPI 1265528111 · Internal Medicine Physician · Dana Point, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rajiv Pathak, M.D. is a Internal Medicine Physician provider in Dana Point, CA (NPI 1265528111).
Provider details
- NPI number
- 1265528111
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA59128 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,040 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,525 | $94 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 186 | $130 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 104 | $65 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 95 | $50 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 35 | $15 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 135 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 428 | 178 |
| Levothyroxine Sodium | 417 | 150 |
| Amlodipine Besylate | 242 | 107 |
| Rosuvastatin Calcium | 241 | 104 |
| Metformin Hcl | 233 | 91 |
| Metoprolol Succinate | 229 | 90 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$14 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 230 US Highway 206 Bldg 2 Unit 5Flanders, NJ 07836-9189Phone: (973) 584-9669Fax: (973) 584-8729
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2024-01-05
- Certified
- 2024-01-05
Frequently asked questions
- What is Rajiv Pathak's NPI number?
- Rajiv Pathak's National Provider Identifier (NPI) is 1265528111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rajiv Pathak's specialty?
- Rajiv Pathak is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rajiv Pathak located?
- Rajiv Pathak's practice location on file with NPPES is 32585 Golden Lantern St Ste E, Dana Point, CA 92629-3252.
- What is Rajiv Pathak's phone number?
- The practice phone number listed in the NPPES registry for Rajiv Pathak is (949) 240-2555.
- Does Rajiv Pathak accept Medicare?
- Rajiv Pathak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rajiv Pathak's NPI active?
- Yes — Rajiv Pathak's NPI (1265528111) is active in the NPPES registry as of the last update on 2024-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.