RAJA FATTALEH (MD) – Family Medicine Physician, NPI 1841283439
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
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Provider Addresses for RAJA FATTALEH (MD)
Putnam, Windham County, Connecticut, 06260, United States
PUTNAM, CT 062600333
Phone: (860) 928-1111
Fax: (860) 963-7756
Type: Mailing
353, Pomfret Street, Putnam, Windham County, Connecticut, 06260, United States
PUTNAM, CT 062601835
Phone: (860) 928-1111
Fax: (860) 963-7756
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 632 Open Payments records for all available years, with a total value of $12,921.
Total Amount is formed as General ($12,921) + Research ($0) + Ownership ($0) = $12,921.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,174).
Total Amount
$12,921
General + Research + Ownership
Payments
632
Total payment records
General Amount
$12,921
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,174 |
| ABBVIE INC. | $969 |
| Teva Pharmaceuticals USA, Inc. | $907 |
| Janssen Pharmaceuticals, Inc | $398 |
| PFIZER INC. | $393 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040827000438 | I | Family Practice | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,560 | 18 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 436 | 116 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 300 | 33 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 205 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 196 | 92 | $0 |
Insurance plans in this area (ZIP 06260)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CT | 90670 | Pneumococcal vaccine for injection into muscle | 25 | 25 |
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