Individual provider Active NPI

Muhammad Wajih Raqeem, M.D.

  • Hospitalist Physician
  • Decatur, IL
National Provider Identifier
1598050494
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036132965 Issued in IL
Practice address
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone
(217) 464-5811
Fax
(217) 464-1318
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01084440A IN
Hospitalist Physician 208M00000X 036132965 IL Primary
Internal Medicine Physician 207R00000X 036132965 IL

Addresses

Primary practice location

1800 E Lake Shore Dr
Decatur, IL 62521-3810

Mailing address

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211104001442 IN Practitioner - Internal MedicinePractitioner - Hospitalist 6103068572 Reassigns benefits to 6 organizations
I20230731001590 MI Practitioner - Internal Medicine 6103068572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess Lee HospitalGroup PAC ID 7719881002, 28 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Apogee Medical Group Indiana PCGroup PAC ID 8729155742, 70 clinicians
Three Rivers Health System IncGroup PAC ID 8729245584, 42 clinicians

Practice addresses (Care Compare)

420 W High St
Dowagiac, MI 49047-1943
Phone (269) 783-3052

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-2443

600 E Blvd
Elkhart, IN 46514-2483
Phone (574) 389-7393

701 S Health Pkwy
Three Rivers, MI 49093-8354

701 S Health Pkwy
Three Rivers HLTH
Three Rivers, MI 49093-8352
Phone (574) 647-1817

711 S Health Pkwy
Suite 1
Three Rivers, MI 49093-8354
Phone (269) 273-8557

715 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 273-8471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036132965ILMDInternal Medicine Physician
01084440AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Informe Healthcare LLC Internal Medicine CurrentSince Jun 27, 2022 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Three Rivers Health System, Inc CurrentSince Jul 1, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Three Rivers Health System, Inc CurrentSince Jul 1, 2023 Accepting new patients
Informe Healthcare in, LLC Internal Medicine CurrentSince Jun 27, 2022 Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Three Rivers Health System, Inc Current Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 1, 2024 Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221

8800 Virginia Pl
Merrillville, IN 46410
Phone (219) 736-1310

1420 E Douglas Rd
Mishawaka, IN 46545
Phone (574) 307-7200

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

17475 Dugdale Dr
South Bend, IN 46635
Phone (574) 247-7500

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

Interoperability endpoints

  • Direct secure messaging: mraqeem1786644@direct.trinity-health.org

Organizations & group practices 12

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 8

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1598050494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213810",
            "telephone_number": "217-464-5811",
            "fax_number": "217-464-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213810",
            "telephone_number": "217-464-5811",
            "fax_number": "217-464-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAQEEM",
        "first_name": "MUHAMMAD",
        "middle_name": "WAJIH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01084440A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036132965",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036132965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.