DR. DHIRAJ RAJKUMAR M.D.
NPI 1215202684
Radiology - Diagnostic Radiology in Houston, TX
Quality Rating: 77 out of 100 score
NPI Status: Active since March 18, 2012
Contact Information
2002 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
Phone: (713) 791-1414
- Individual
- Male
- Years of Experience 19
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DHIRAJ RAJKUMAR
This page provides the complete NPI Profile along with additional information for Dhiraj Rajkumar, a provider established in Houston, Texas with a medical specialization in Radiology, focusing in diagnostic radiology and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1215202684 assigned on March 2012. The practitioner's primary taxonomy code is 2085R0202X with license number P1684 (TX). The provider is registered as an individual and his NPI record was last updated May 2025.
- NPI
- 1215202684
- Provider Name
- DR. DHIRAJ RAJKUMAR M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2002 HOLCOMBE BLVD HOUSTON, TX 77030
- Location Phone
- (713) 791-1414
- Mailing Address
- 7603 HUNTERS POINT DR SUGAR LAND, TX 77479
- Mailing Phone
- (908) 405-8870
- Medical School Name
- OTHER
- Graduation Year
- 2007
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-18-2012
- Last Update Date
- 05-08-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- P1684
- License State
- TX
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Bronze 016 (No deductible for PCP & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Gold 022 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Select Silver 019 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Dhiraj Rajkumar is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Dhiraj Rajkumar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9931345469
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130429000305
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.6 for a new patient copayment and $18.15 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 77030 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.4
- Minimum New Patient Price $58.24
- Maximum New Patient Price $176.98
- Average New Patient Copayment $22.6
- Minimum New Patient Copayment $14.56
- Maximum New Patient Copayment $44.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.62
- Minimum Established Patient Price $18.6
- Maximum Established Patient Price $143.93
- Average Established Patient Copayment $18.15
- Minimum Established Patient Copayment $4.65
- Maximum Established Patient Copayment $35.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 77 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 66.52
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 51.46
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 51.46
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dhiraj Rajkumar is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
HARRIS HEALTH SYSTEM | 2525 HOLLY HALL HOUSTON, TX 77054 | (713) 566-6417 | Acute Care Hospitals |
Reviews for DR. DHIRAJ RAJKUMAR M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 1 | 5 | 2 | 0 | 2 | 6 | 8 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 2 | 5 | 4 | 0 | 4 | 6 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 2 + 5 + 4 + 0 + 4 + 6 + 1 + 6 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1215202684 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1760488290 | DR. GAYATHRI BHAGWATH M.D. Individual | Internal Medicine | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 791-1414 |
1376541086 | MS. ELIZABETH MARBACH HOPKINS RPH, M.S. Individual | Pharmacist | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 791-1414 |
1265433809 | DR. LISA JEAN MILLER PHARM.D. Individual | Pharmacist (Psychiatric) | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 791-1414 |
1881696250 | DR. NICOLE LYNN MCMASTER-BAXTER PHARM.D., BCPS Individual | Pharmacist (Pharmacotherapy) | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 794-7119 |
1114915816 | PARIKSHET A BABBER MD Individual | Internal Medicine | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 794-7440 |
1215925318 | NANCY L ELLEFSON CRNA Individual | Nurse Anesthetist, Certified Registered | 2002 HOLCOMBE BLVD SECTION 145 HOUSTON, TX 77030 (713) 794-7661 |
1023078052 | MR. JAMES MICHAEL SMITH PA-C Individual | Physician Assistant | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 794-7561 |
1487614236 | MARCIA PERK PELTIER PA-C Individual | Physician Assistant (Surgical) | 2002 HOLCOMBE BLVD 112-G HOUSTON, TX 77030 (713) 794-7893 |
1043260276 | ANNA BRACERO RKT Individual | Kinesiotherapist | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 794-7816 |
1780634642 | MR. JAMES CLINTON COLLIER PA-C Individual | Physician Assistant (Medical) | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 791-1414 |
1740230697 | MR. WARRENSON A PAYNE Individual | Physician Assistant | 2002 HOLCOMBE BLVD MICHAEL E. DEBAKEY VA MEDICAL CENTER HOUSTON, TX 77030 (713) 791-1414 |
1336199967 | YVONNE MARIE BOWERS PA-C Individual | Physician Assistant (Medical) | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 794-7635 |
1396790416 | MRS. JULEENA DAWN MASTERS LMSW Individual | Social Worker (Clinical) | 2002 HOLCOMBE BLVD OCL 112 HOUSTON, TX 77030 (713) 791-1414 |
1366489130 | JOSE ANTONIO DELGADO PA-C Individual | Physician Assistant (Surgical) | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 794-7892 |
1225076102 | RHANDA ALAINE JOHNSON PA-C Individual | Physician Assistant | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 794-8709 |
1659314458 | MR. WILLIAM N GADDIS III RKT Individual | Kinesiotherapist | 2002 HOLCOMBE BLVD RCL/117/PACT HOUSTON, TX 77030 (713) 794-7169 |
1114962032 | MRS. LAURA L. SEITZ M. A., CCC-A Individual | Audiologist | 2002 HOLCOMBE BLVD MICHAEL E. DEBAKEY VA MEDICAL CENTER, AUDIOLOGY (126) HOUSTON, TX 77030 (712) 791-1414 |
1619903770 | LAURA MARSH M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2002 HOLCOMBE BLVD MENTAL HEALTH CARE LINE 116; MICHAEL E. DEBAKEY VAMC HOUSTON, TX 77030 (713) 794-8907 |
1932136272 | DR. ELIZABETH ANN STANBERRY PHARM. D. Individual | Pharmacist (Pharmacotherapy) | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 794-7177 |
1275560633 | KIMTHY DINH PHUNG PHARMD Individual | Pharmacist | 2002 HOLCOMBE BLVD HOUSTON, TX 77030 (713) 791-1414 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215202684, enumerated in the NPI registry as an "individual" on March 18, 2012
The provider is located at 2002 Holcombe Blvd Houston, Tx 77030 and the phone number is (713) 791-1414
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider has more than 19 years of experience.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $90.4 with an average copayment of $22.6 for new patient appointments. Established patients should expect a typical charge of $72.62 and an average copayment of 18.15. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): HARRIS HEALTH SYSTEM. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on March 18, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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