Ajay Rawal, MD - Medicare Pathology in St. Paul, MN

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Ajay Rawal, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in St. Paul, Minnesota. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Park Nicollet Clinic and his current practice location is 640 Jackson St - Mc 11103e, Hehealthpartners Regions Specialty Clinics, St. Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-4796.

Ajay Rawal is licensed to practice in Minnesota (license number 51629) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831281641.

Contact Information

Ajay Rawal, MD
640 Jackson St - Mc 11103e, Hehealthpartners Regions Specialty Clinics,
St. Paul, MN 55101-2502
(651) 254-4796
(651) 254-2741

Map and Direction




Physician's Profile

Full NameAjay Rawal
GenderMale
SpecialityPathology
Experience31 Years
Location640 Jackson St - Mc 11103e, St. Paul, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ajay Rawal graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1831281641
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 03/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971654179
  • Enrollment ID: I20090630000063

Medical Identifiers

Medical identifiers for Ajay Rawal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831281641NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 4301082780 (Michigan)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 51629 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital
Hutchinson HealthHutchinson, MNHospital
Ridgeview Medical CenterWaconia, MNHospital
Olivia Hospital & ClinicOlivia, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381530

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ajay Rawal allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417
Entity NamePark Nicollet Methodist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083622047
PECOS PAC ID: 7315840063
Enrollment ID: O20040129000853

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ajay Rawal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ajay Rawal, MD
8170 33rd Ave S, Ms21110q,
Minneapolis, MN 55425-4516

Ph: (952) 883-5375		Ajay Rawal, MD
640 Jackson St - Mc 11103e, Hehealthpartners Regions Specialty Clinics,
St. Paul, MN 55101-2502

Ph: (651) 254-4796

Reviews and Comments


Pathology Doctors in St. Paul, MN

Dr. David Conrad Mair, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: American Red Cross Blood Services- Mn& Dak Region, 100 South Robert St, St. Paul, MN 55107
Phone: 651-341-9776    Fax: 651-291-8994

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.