NPIMap

Individual provider Active NPI

Raj M Sajid, M.D.

  • Family Medicine Physician
  • Collinsville, IL
National Provider Identifier
1265529630
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-115808 Issued in IL
Practice address
415 W Main St
Suite 3
Collinsville, IL 62234-3043
Phone
(618) 344-0071
Fax
(618) 344-7793
NPI assigned
Oct 6, 2006
Last updated
Jan 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2008026704 MO
Family Medicine Physician 207Q00000X 036-115808 IL Primary
Emergency Medicine Physician 207P00000X 036-115808 IL
Emergency Medicine Physician 207P00000X 2008026704 MO

Addresses

Primary practice location

415 W Main St
Suite 3
Collinsville, IL 62234-3043

Mailing address

415 W Main St
Suite 3
Collinsville, IL 62234-3043
Phone (618) 344-0071

Other identifiers 3

IdentifierTypeStateIssuer
036115808-3MedicaidIL
1265529630MedicaidMO
036115808-4MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080326000997 IL Practitioner - Family PracticePractitioner - Emergency Medicine 0648356923 Reassigns benefits to 1 organization
I20081210000149 MO Practitioner - Family PracticePractitioner - Emergency Medicine 0648356923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albert Einstein College of Medicine of Yeshiva University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Arbor Ter
Fenton, MO 63026-3900
Phone (618) 344-0071

100 N Main St
Gideon, MO 63848-9253
Phone (573) 448-3800

216 W Main St
Steele, MO 63877-1436
Phone (573) 695-2181

304 Teaco Rd
Suite a
Kennett, MO 63857-3268
Phone (573) 717-1072

415 W Main St
Suite 3
Collinsville, IL 62234-3043
Phone (618) 344-0071

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115808ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delmar Gardens of Meramec Valley Operating, LLC Past Accepting new patients
Delmar Gardens West Operating, LLC Past Accepting new patients
Fieser Nursing Center LLC Past Accepting new patients
Florissant Skilled Nursing, LLC Past Accepting new patients
Emergency Medical Specialist, S.C Emergency Medicine Past Accepting new patients
Des Peres Urgent Care, LLC Past Accepting new patients
Jpam Consulting, Inc Past Accepting new patients
Mercy Hospital South Emergency Medicine Past Accepting new patients
Manor Grove, Inc. Past Accepting new patients
Emergency Medical Specialists, II, S.C. Emergency Medicine Past Accepting new patients
Delmar Gardens North Operating, LLC Past Accepting new patients
Delmar Gardens on the Green Operating, LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Grove at KirkwoodKirkwood, MO, CCN 265833 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 7, 2025
Apr 20, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1265529630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343043",
            "telephone_number": "618-344-0071",
            "fax_number": "618-344-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343043",
            "telephone_number": "618-344-0071",
            "fax_number": "618-344-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJID",
        "first_name": "RAJ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008026704",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-115808",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-115808",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2008026704",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115808-3",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265529630",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115808-4",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

Verify at the official NPI Registry.