NPIMap

Individual provider Active NPI

Rakesh Marwaha, M.D.

  • Specialist
  • Naperville, IL
National Provider Identifier
1164539094
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036082683 Issued in IL
Practice address
640 S Washington St
Ste 380
Naperville, IL 60540-6603
Phone
(630) 527-6390
Fax
(630) 527-6392
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036082683 IL Primary

Addresses

Primary practice location

640 S Washington St
Ste 380
Naperville, IL 60540-6603

Mailing address

640 S Washington St
Ste 380
Naperville, IL 60540-6603
Phone (630) 527-6390

Other identifiers 4

IdentifierTypeStateIssuer
036082683MedicaidIL
036083929MedicaidIL
036113282MedicaidIL
2228249OtherILBCBS OF ILL. PROVIDER #

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL rmarwaha252346@direct.myadvocateaurora.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000812 IL Practitioner - Internal Medicine 9931099355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rakesh Marwaha MD SCGroup PAC ID 6608766027, 4 clinicians

Practice addresses (Care Compare)

1190 S Naper Blvd
Naperville, IL 60540-8331
Phone (630) 527-6390

Hospital & facility affiliations

  • Innova Care Home health agency, Rosemont, IL, CCN 147733
  • Residential Home Health Home health agency, Lisle, IL, CCN 147568
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Marwaha M.D. S.C. CurrentSince Oct 1, 2001 Accepting new patients
Woodridge Clinic S.C Past Accepting new patients

Locations

3800 Highland Ave
Ste 101
Downers Grove, IL 60515
Phone (630) 351-0775

640 S Washington St
Ste 380
Naperville, IL 60540
Phone (630) 272-6441

1190 S Naper Blvd
Naperville, IL 60540
Phone (312) 229-0345

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECFAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIDABA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIDABA/Endpoint/EIDABA

Organizations & group practices 2

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 9

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1164539094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST",
            "address_2": "STE 380",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406603",
            "telephone_number": "630-527-6390",
            "fax_number": "630-527-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST",
            "address_2": "STE 380",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406603",
            "telephone_number": "630-527-6390",
            "fax_number": "630-527-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARWAHA",
        "first_name": "RAKESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036082683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082683",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083929",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113282",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILL. PROVIDER #",
            "identifier": "2228249",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "rmarwaha252346@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1190 S Naper Blvd",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605408331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.