TIMOTHY C RAJTORA – Internal Medicine Physician, NPI 1568447951

TIMOTHY C RAJTORA is a healthcare provider. based in St louis park, Minnesota. specializing in INTERNAL MEDICINE. They hold a License No. 41709 (MN). The NPI Number for TIMOTHY C RAJTORA is 1568447951

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY C RAJTORA
NPI
1568447951
Phone
(952) 993-6450
Address
6465 WAYZATA BLVD
Enumeration Date
8 December 2005
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
9529938900
Graduation Year
1999 (27 years ago)
PAC ID
0941343776
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20100202000709
Address ID
MN554462307PL4155X101X400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,638 INTERNAL MEDICINE in MN

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Provider Addresses for TIMOTHY C RAJTORA

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    STE 315

    ST LOUIS PARK, MN 554261728

    Phone: (952) 993-6450

    Fax: (952) 993-0300

    Type: Mailing

  • 3850, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    PARK NICOLLET CLINIC SLP MEDICINE

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-5041

    Fax: (952) 993-1361

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-02-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100202000709IInternal MedicineMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample518232$0
99214Established patient office or other outpatient visit, 30-39 minutes279220$0
85610Blood test, clotting time20417$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit175175$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count162150$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Can I use this page to confirm TIMOTHY C RAJTORA's NPI?
Yes. TIMOTHY C RAJTORA is listed with NPI 1568447951 in the public NPI dataset.
Is TIMOTHY C RAJTORA still practicing?
TIMOTHY C RAJTORA is currently listed as active in the public NPI registry.
What is TIMOTHY C RAJTORA best known for clinically?
Directory data describes TIMOTHY C RAJTORA with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect TIMOTHY C RAJTORA on a map?
Expect St Louis Park, Minnesota as a primary anchor for TIMOTHY C RAJTORA unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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