NPIMap

Individual provider Active NPI

Rajani Kosuri, M.D.

  • Nephrology Physician
  • Melrose Park, IL
National Provider Identifier
1346455185
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036123880 Issued in IL
Practice address
1111 Superior St Ste 204
Melrose Park, IL 60160-4156
Phone
(219) 299-3388
Fax
(708) 338-1780
NPI assigned
May 14, 2007
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301086504 MI
Nephrology Physician 207RN0300X 036123880 IL Primary

Addresses

Primary practice location

1111 Superior St Ste 204
Melrose Park, IL 60160-4156

Mailing address

PO Box 5391
Woodridge, IL 60517-0391
Phone (219) 299-3388

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
I20110603000492 IL Practitioner - NephrologyPractitioner - Internal Medicine 1355418674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1985 N Mannheim Rd
Melrose Park, IL 60160-1012
Phone (708) 689-8539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
42.27 of 100Reported as individual
Quality
35
Improvement activities
0
Cost
60.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086504MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adiron Dialysis LLC CurrentSince Jan 1, 2021 Accepting new patients
Lakeview Home Dialysis LLC Past Accepting new patients
Northwest Indiana Nephrology PC Nephrology PastSince Apr 1, 2012 Accepting new patients
Optimum Kidney Care SC Nephrology Past Accepting new patients
Nephrology Associates of Northern Indiana, Inc Nephrology PastSince Jun 1, 2025 Accepting new patients

Locations

1985 N Mannheim Rd
Melrose Park, IL 60160
Phone (708) 343-4862

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1346455185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5391",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605170391",
            "telephone_number": "219-299-3388",
            "fax_number": "708-338-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST STE 204",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604156",
            "telephone_number": "219-299-3388",
            "fax_number": "708-338-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSURI",
        "first_name": "RAJANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301086504",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036123880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.