Individual provider Active NPI

Rajeev S Kalsi, M.D.

  • Emergency Medicine Physician
  • Naperville, IL
National Provider Identifier
1447464292
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.122489 Issued in IL
Practice address
636 Raymond Dr
Suite 106
Naperville, IL 60563-7978
Phone
(630) 933-1600
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.122489 IL Primary

Addresses

Primary practice location

636 Raymond Dr
Suite 106
Naperville, IL 60563-7978

Mailing address

636 Raymond Dr
Suite 106
Naperville, IL 60563-7978
Phone (630) 933-1600

Other practice location 1

530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811

Other identifiers 1

IdentifierTypeStateIssuer
036122489MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kalsirajeev@perry.cernerdirect.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000635 IL Practitioner - Emergency Medicine 8820144736 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rush Medical College of Rush University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Emergency Physicians LLCGroup PAC ID 1850657180, 44 clinicians

Practice addresses (Care Compare)

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-6200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.122489ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Jul 1, 2021 Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 6, 2021 Accepting new patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Central Dupage Hospital Association CurrentSince Aug 19, 2009 Accepting new patients
Osf Healthcare System CurrentSince Jul 1, 2021 Accepting new patients
Central Dupage Hospital Association CurrentSince Aug 19, 2009 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 26, 2020 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Central Dupage Emergency Physicians, PC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Rockford Health Physicians CurrentSince Sep 1, 2017 Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

636 Raymond Dr
Ste 106
Naperville, IL 60563
Phone (630) 416-2300

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: kalsirajeev@perry.cernerdirect.com

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 and National Provider Directory roles.

View all 14

Hospital & facility affiliations 2

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1447464292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR",
            "address_2": "SUITE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605637978",
            "telephone_number": "630-933-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR",
            "address_2": "SUITE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605637978",
            "telephone_number": "630-933-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Park Ave E",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IL",
            "postal_code": "61356",
            "country_code": "US",
            "telephone_number": "815-875-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALSI",
        "first_name": "RAJEEV",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.122489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036122489",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kalsirajeev@perry.cernerdirect.com",
            "affiliation": "N",
            "address_1": "530 Park Ave E",
            "city": "Princeton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.