VISHAL RAJ (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1427201128
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,125 CRITICAL CARE (INTENSIVISTS) in CA
Provider Addresses for VISHAL RAJ (M.D.)
15th Street Northwest, Norton, Norton City, Virginia, 24273, United States
NORTON, VA 242731600
Phone: (276) 439-1490
Fax: (276) 439-1495
Type: Mailing
1300 ETHAN WAY STE 600
SACRAMENTO, CA 958252296
Phone: (916) 482-7623
Type: Mailing
5 MEDICAL PLAZA DR STE 190
ROSEVILLE, CA 956612867
Phone: (916) 679-3590
Type: Location
1300 ETHAN WAY
STE 600
SACRAMENTO, CA 958252296
Phone: (276) 439-1490
Fax: (276) 439-1495
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $3,978.
Total Amount is formed as General ($3,978) + Research ($0) + Ownership ($0) = $3,978.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,436).
Total Amount
$3,978
General + Research + Ownership
Payments
36
Total payment records
General Amount
$3,978
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,436 |
| ViiV Healthcare Company | $381 |
| AstraZeneca Pharmaceuticals LP | $47 |
| ABBVIE INC. | $38 |
| Inari Medical, Inc. | $37 |
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: 2021-10-20
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 |
|---|---|---|---|---|
| I20211020001947 | I | Critical Care (Intensivists) | CA | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 622 | 261 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 180 | 97 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 42 | 40 | $0 |
Insurance plans in this area (ZIP 24273)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | VA | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 48 | 48 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Infectious Disease | CA | |
| Hospitalist, Pulmonary Disease, Family Practice, Internal Medicine | IN | |
| Nurse Practitioner | CA | |
| Pulmonary Disease | CA | |
| Pulmonary Disease, Critical Care (Intensivists) | CA | |
| Neurology, Internal Medicine | CA | |
| - | CA | |
| Pulmonary Disease, Critical Care (Intensivists) | CA | |
| Pulmonary Disease, Critical Care (Intensivists) | CA | |
| Critical Care (Intensivists), Pulmonary Disease | CA |
Reviews
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