Basundhara Raj

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

102 W Shore Ter
Hillsboro, IL 62049-3208

Phone

(217) 602-8534

NPI assigned

Jan 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hillsboro Area Hospital, Inc.Group PAC ID 4486547148, shared by 4 NPIs, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillsboro Area Hospital Hospital, Hillsboro, IL, CCN 141332

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Hillsboro Area Hospital, Inc.

  • Critical Access Hospital
  • Hillsboro, IL
  • NPI 1194705210
  Medicare reassignment NPD
• Hillsboro Area Hospital, Inc.

  • Hospitalist Physician
  • Hillsboro, IL
  • NPI 1821078213
  Medicare reassignment NPD
• Hillsboro Area Hospital, Inc.

  • Rural Health Clinic/Center
  • Hillsboro, IL
  • NPI 1811774771
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hillsboro Area Hospital, Inc.

  • Critical Access Hospital
  • Hillsboro, IL
  • NPI 1194705210
  Care Compare affiliation
• Hillsboro Area Hospital, Inc.

  • Rural Health Clinic/Center
  • Hillsboro, IL
  • NPI 1811774771

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1609580067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W SHORE TER",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620493208",
            "telephone_number": "217-602-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W SHORE TER",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620493208",
            "telephone_number": "217-602-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJ",
        "first_name": "BASUNDHARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Otter, FNP
• Katherine Anne Pickerill, DPT
• Prairie Eye Center LTD
• Emily S. Prater, LCSW
• Precise Specialties Corporation
• Rehabedge, LLC
• Douglas Rice, MA, CCC-SLP
• Robert G. Balen D.M.D., LTD.
• Karli Robinson, PMHNP
• Cady Sanborn

• Physician Assistant in Hillsboro, IL
• Providers in Hillsboro, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.