Ahmad Raja, DO
NPI 1427673904 · Hospitalist Physician · Wilkes Barre, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ahmad Raja, DO is a Hospitalist Physician provider in Wilkes Barre, PA (NPI 1427673904).
Provider details
- NPI number
- 1427673904
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS023137 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
232 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 158 | $163 |
| Critical Care, First 30-74 Minutes99291 | 40 | $202 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 17 | $124 |
| Critical Care, Each Additional 30 Minutes99292 | 17 | $102 |
Typical Medicare-allowed amounts for these services range $102–$202 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-06-10
- Last updated
- 2024-05-10
- Certified
- 2024-05-10
Frequently asked questions
- What is Ahmad Raja's NPI number?
- Ahmad Raja's National Provider Identifier (NPI) is 1427673904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ahmad Raja's specialty?
- Ahmad Raja is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Ahmad Raja located?
- Ahmad Raja's practice location on file with NPPES is 575 N River St, Wilkes Barre, PA 18764-0999.
- What is Ahmad Raja's phone number?
- The practice phone number listed in the NPPES registry for Ahmad Raja is (570) 829-8111.
- Does Ahmad Raja accept Medicare?
- Ahmad Raja is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ahmad Raja's NPI active?
- Yes — Ahmad Raja's NPI (1427673904) is active in the NPPES registry as of the last update on 2024-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.