Shilpa Raju
Individual provider Active NPI Emergency Medicine Physician · Chicago, IL
NPI 1316153174 · NPPES record last updated Nov 12, 2021
Key facts
- NPI
- 1316153174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036-126109 (IL)
- Practice address
- 1740 W Taylor St
Chicago, IL 60612-7232 - Phone
- (866) 600-2273
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Utah Adult Services
Practice addresses (Care Compare)
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121
50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995
Hospital & facility affiliations
- University of Utah Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.77 of 100
- Quality
- 91.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.42
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150210001778 | UT | Practitioner - Internal Medicine |
1557518487 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-126109 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Utah Regional Hospitalists LLC | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Community Physicians Group | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Current |
Accepting new patients |
Locations
1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
5126 W Daybreak Pkwy
South Jordan, UT 84009
Phone (801) 213-4320
5825 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-5254
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Interoperability endpoints
- sraju165078@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-126109 | IL | Yes |
Addresses
Primary practice location
1740 W Taylor St
Chicago, IL 60612-7232
Mailing address
300 W Hill St
Apt 602
Chicago, IL 60610-2549
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sraju165078@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Other providers in Chicago, IL
- Gurleen Rajput
- Ujjval Rajput
- Jhansi Raju
- Joly Raju
- Prianka Raju
- Rajul Patel West Loop PC
- Rajul Patel Westloop PC
- Rajul Patel Westloop PC
- Rajul Patel Westloop PC
- Rajul Patel Westloop PC
All providers in Chicago, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.