Raj Gadhia, M.D.
NPI 1922368976 · Emergency Medicine Physician · Brockton, MA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raj Gadhia, M.D. is a Emergency Medicine Physician provider in Brockton, MA (NPI 1922368976).
Provider details
- NPI number
- 1922368976
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 288007 (MA)
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 tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
73 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 31 | $172 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $65 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 13 | $118 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 12 | $35 |
Typical Medicare-allowed amounts for these services range $35–$172 (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
Additional practice locations (1)
- 1701 N George Mason DrVirginia Hospital Center Emergency DepartmentArlington, VA 22205-3610Phone: (703) 558-5000
Registry dates
- Enumerated
- 2012-05-24
- Last updated
- 2022-12-08
- Certified
- 2022-12-08
Frequently asked questions
- What is Raj Gadhia's NPI number?
- Raj Gadhia's National Provider Identifier (NPI) is 1922368976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raj Gadhia's specialty?
- Raj Gadhia is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Raj Gadhia located?
- Raj Gadhia's practice location on file with NPPES is 680 Centre St, Brockton, MA 02302-3308.
- What is Raj Gadhia's phone number?
- The practice phone number listed in the NPPES registry for Raj Gadhia is (508) 941-7400.
- Does Raj Gadhia accept Medicare?
- Raj Gadhia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raj Gadhia's NPI active?
- Yes — Raj Gadhia's NPI (1922368976) is active in the NPPES registry as of the last update on 2022-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.