Madankumar Raj, M.D.
NPI 1528029162 · Pain Medicine Physician · Great Neck, NY
Enrolled with Medicare as Practitioner - Interventional Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madankumar Raj, M.D. is a Pain Medicine Physician provider in Great Neck, NY (NPI 1528029162).
Provider details
- NPI number
- 1528029162
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 231493 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,058 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 | 521 | $102 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 107 | $301 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 100 | $142 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 99 | $122 |
| Injection of Trigger Points, 3 Or More Muscles20553 | 40 | $70 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 604 | 75 |
| Morphine Sulfatebrand: Morphine Sulfate Er | 364 | 51 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 354 | 48 |
| Gabapentin | 294 | 69 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 137 | 33 |
| Tizanidine Hcl | 126 | 27 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$507 across 27 records (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
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2023-04-04
- Certified
- 2023-04-04
Frequently asked questions
- What is Madankumar Raj's NPI number?
- Madankumar Raj's National Provider Identifier (NPI) is 1528029162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madankumar Raj's specialty?
- Madankumar Raj is listed in the NPPES registry with a primary specialty of Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Madankumar Raj located?
- Madankumar Raj's practice location on file with NPPES is 600 Northern Blvd, Great Neck, NY 11021.
- What is Madankumar Raj's phone number?
- The practice phone number listed in the NPPES registry for Madankumar Raj is (516) 441-5739.
- Does Madankumar Raj accept Medicare?
- Madankumar Raj is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madankumar Raj's NPI active?
- Yes — Madankumar Raj's NPI (1528029162) is active in the NPPES registry as of the last update on 2023-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.