Individual provider Active NPI

Rajini Manjunath, MD

  • Hematology & Oncology Physician
  • Elgin, IL
National Provider Identifier
1043207251
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036095233 Issued in IL
Practice address
1710 N Randall Rd
Ste 300
Elgin, IL 60123-9400
Phone
(847) 931-0909
Fax
(847) 931-0939
NPI assigned
Oct 3, 2005
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036095233 IL Primary

Addresses

Primary practice location

1710 N Randall Rd
Ste 300
Elgin, IL 60123-9400

Mailing address

PO Box 25070
Chicago, IL 60673-2150
Phone (847) 585-7000

Other identifiers 1

IdentifierTypeStateIssuer
036095233MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rmanjunath288344@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060330000465 IL Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Medical Oncology 2163430208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Cancer SpecialistsGroup PAC ID 5597665752, 26 clinicians

Practice addresses (Care Compare)

1710 N Randall Rd
Suite 300
Elgin, IL 60123-9405
Phone (847) 931-0909

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Cancer Specialists Hematology & Oncology CurrentSince Mar 3, 2014 Accepting new patients
Illinois Cancer Specialists Hematology & Oncology Current Accepting new patients
Illinois Cancer Specialists Hematology & Oncology CurrentSince Mar 3, 2014 Accepting new patients

Locations

880 W Central Rd
Ste 8200
Arlington Heights, IL 60005
Phone (847) 259-4482

25070 Network Pl
Chicago, IL 60673
Phone (847) 585-7000

1710 N Randall Rd
Ste 300
Elgin, IL 60123
Phone (847) 931-0909

8915 W Golf Rd
Niles, IL 60714
Phone (847) 692-9255

3703 Doty Rd
Unit 6
Woodstock, IL 60098
Phone (815) 334-9154

Interoperability endpoints

  • Direct secure messaging: rmanjunath288344@direct.myadvocateaurora.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1043207251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25070",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606732150",
            "telephone_number": "847-585-7000",
            "fax_number": "847-240-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "address_2": "STE 300",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239400",
            "telephone_number": "847-931-0909",
            "fax_number": "847-931-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJUNATH",
        "first_name": "RAJINI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036095233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095233",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmanjunath288344@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1710 N Randall Rd",
            "address_2": "STE 300",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601239400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1710 N Randall Rd",
            "address_2": "STE 300",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601239400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.