Individual provider Active NPI

Lovender Raju, M.D.

  • Emergency Medicine Physician
  • Elgin, IL
National Provider Identifier
1083654149
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036113365 Issued in IL
Practice address
77 N Airlite St
Elgin, IL 60123-4912
Phone
(847) 595-3200
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036113365 IL Primary

Addresses

Primary practice location

77 N Airlite St
Elgin, IL 60123-4912

Mailing address

519 S Roselle Rd
Schaumburg, IL 60193-2925
Phone (847) 985-0600

Other practice location 1

519 S Roselle Rd
Schaumburg, IL 60193-2925
Phone (847) 985-0600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lraju5529@direct.nch.org

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
I20060213000126 IL Practitioner - Family PracticePractitioner - Emergency Medicine 6901811959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

360 Station Dr
Crystal Lake, IL 60014-7978
Phone (815) 788-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Hospital Association CurrentSince Jan 1, 2017 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2019 Accepting new patients
Northwest Community Health Services Inc CurrentSince May 1, 2015 Accepting new patients
Northwest Community Health Services Inc CurrentSince May 1, 2015 Accepting new patients
Central Dupage Hospital Association CurrentSince Jan 1, 2017 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2019 Accepting new patients
Sullivan Urgent Aid Centers, LTD Emergency Medicine Past Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

25233 Network Pl
Chicago, IL 60673

360 Station Dr
Ste 300A
Crystal Lake, IL 60014
Phone (815) 788-7500

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1201 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 540-8088

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

199 W Rand Rd
Mt Prospect, IL 60056
Phone (847) 618-5400

519 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 618-0535

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 7

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

Hospital & facility affiliations 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1083654149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601932925",
            "telephone_number": "847-985-0600",
            "fax_number": "847-985-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N AIRLITE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234912",
            "telephone_number": "847-595-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 S Roselle Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601932925",
            "country_code": "US",
            "telephone_number": "847-985-0600",
            "fax_number": "847-985-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJU",
        "first_name": "LOVENDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036113365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lraju5529@direct.nch.org",
            "affiliation": "N",
            "address_1": "519 S Roselle Rd",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601932925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.