Nilin Raj, M.D.
NPI 1245666528ActiveIndividual· Internal Medicine· Baldwin, WI
Internal Medicine (M.D.) with Baldwin Area Medical Center Inc and 1 other group, practicing in Baldwin, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $37,149 for 272 claims, against $10,298 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. reported $19.33 in payments in 2025, mostly food and beverage. Lists Abbott Northwestern Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1245666528 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 18, 2013 |
| Last updated in NPPES | Mar 26, 2026 |
| Certified by provider | Mar 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 68696-20 | WI |
| Internal Medicine, Nephrology | 207RN0300X | 68696-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Neurology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 156 across 8 procedure codes |
| Paid by Medicare | $10,298 |
Part D prescriptions in 2024
| Prescriptions (claims) | 272 · 423 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $37,149 |
| Generic share | 73% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Neurology |
| Secondary specialties | Hospitalist |
| Telehealth | Offers telehealth |
Medical groups
- Baldwin Area Medical Center IncBaldwin, WI · 89 clinicians
- Ladd Memorial HospitalOsceola, WI · 70 clinicians
Hospital affiliations
- Abbott Northwestern HospitalMinneapolis, MN
- Allina United HospitalSaint Paul, MN
- Ladd Memorial HospitalOsceola, WI
- Western Wisconsin HealthBaldwin, WI
Industry payments (Open Payments)
- 2025$19.33 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $19.33 | 1 |
What the 2025 payments were for
- Food and Beverage$19.33 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Baldwin
- 1558655878