RAJA FATTALEH MD NPI 1841283439

NPI Information

  • NPI: 1841283439
  • Provider Name: RAJA FATTALEH, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 353 POMFRET ST
    PUTNAM, CT
    ZIP 06260
  • Phone: (860) 928-1111

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NPI Details

Raja Fattaleh, MD is a family medicine in Putnam, CT with 32 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Raja Fattaleh, MD NPI is 1841283439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

353 POMFRET ST
PUTNAM, CT
ZIP 06260-835
Phone: (860) 928-1111
Fax: (860) 963-7756

The NPI 1841283439 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • 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 (HCPCS:G2212)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Test to measure largest amount of air breathed in an out (HCPCS:94200)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Urinalysis, manual test (HCPCS:81002)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 8/29/2005 and was last updated on 11/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine038188CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001381889MEDICAIDCONNECTICUT
2080001690MEDICARE ID-TYPE UNSPECIFIED
3H09574MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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