Active NPI
Raksha Prakash Indorkar, M.D.
- Cardiovascular Disease Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036138115
- Practice address
- 11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106 - Phone
- (216) 844-8500
- NPI assigned
- May 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-121505 | OH | |
| Cardiovascular Disease Physician | 207RC0000X | 036138115 | IL | Primary |
Addresses
Primary practice location
11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106
Mailing address
Division of Cardiology
840 S Wood Street, CSB 920 (MC 715)
Chicago, IL 60612
Phone (213) 996-9086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0086372 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1401 E 12TH St
Mendota, IL 61342-9216
Phone (815) 227-5600
444 Roxbury Rd
Rockford, IL 61107-5059
Phone (815) 398-3000
5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
900 N 2ND St
Rochelle, IL 61068-1764
Phone (815) 677-8833
Hospital & facility affiliations
- Saint Anthony Medical Center
- Rochelle Community Hospital
- Osf Saint Paul Medical Center
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Katharine Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-121505 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
Locations
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
444 Roxbury Rd
Rockford, IL 61107
Phone (815) 395-9196
444 Roxbury Rd
#12471
Rockford, IL 61107
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687564800000",
"number": "1225355167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DIVISION OF CARDIOLOGY",
"address_2": "840 S WOOD STREET, CSB 920 (MC 715)",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "213-996-9086",
"fax_number": "312-413-2948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "216-844-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDORKAR",
"first_name": "RAKSHA",
"middle_name": "PRAKASH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2023-06-24",
"certification_date": "2023-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-121505",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036138115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0086372",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.