Individual provider Active NPI

Rajeswar Rajagopalan, M.D.

  • Internal Medicine Physician
  • Itasca, IL
National Provider Identifier
1497866784
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-090352 Issued in IL
Practice address
1300 N Arlington Heights Rd Ste 130
Itasca, IL 60143-3128
Phone
(847) 871-4540
Fax
(847) 871-4597
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 036-090352 IL Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 036090352 IL

Addresses

Primary practice location

1300 N Arlington Heights Rd Ste 130
Itasca, IL 60143-3128

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-2000

Other identifiers 1

IdentifierTypeStateIssuer
036090352MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rrajagopalan188128@dulyhealthandcare.direct-ci.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
I20070731000381 IL Practitioner - Internal Medicine 8628179991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

40 S Clay St
Hinsdale, IL 60521-3257

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-090352ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Jan 28, 2019 Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 28, 2019 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1300 N Arlington Heights Rd
Ste 130
Itasca, IL 60143
Phone (847) 871-4540

3315 Algonquin Rd
Rolling Meadows, IL 60008
Phone (847) 788-0700

3315 Algonquin Rd
Ste 100
Rolling Meadows, IL 60008
Phone (847) 376-8969

Interoperability endpoints

  • Direct secure messaging: rrajagopalan188128@dulyhealthandcare.direct-ci.com

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.

Hospital & facility affiliations 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1497866784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N ARLINGTON HEIGHTS RD STE 130",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601433128",
            "telephone_number": "847-871-4540",
            "fax_number": "847-871-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAGOPALAN",
        "first_name": "RAJESWAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-090352",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036090352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090352",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrajagopalan188128@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "1300 N Arlington Heights Rd Ste 130",
            "city": "Itasca",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601433128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Itasca, IL

Sources for this page

Verify at the official NPI Registry.