Active NPI
R Rajasekhar, MD SC
- Specialist
- Chicago, IL
National Provider Identifier
1679504682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036049834
- Practice address
- 7030 W Belmont Ave
Chicago, IL 60634-4689 - Phone
- (773) 777-1100
- Fax
- (773) 777-8409
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036049834 | IL | Primary |
Addresses
Primary practice location
7030 W Belmont Ave
Chicago, IL 60634-4689
Mailing address
7030 W Belmont Ave
Chicago, IL 60634-4689
Phone (773) 777-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036049834 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036049834 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1679504682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7030 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344689",
"telephone_number": "773-777-1100",
"fax_number": "773-777-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344689",
"telephone_number": "773-777-1100",
"fax_number": "773-777-8409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJASEKHAR",
"first_name": "R",
"name_prefix": "Dr.",
"credential": "MD SC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036049834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036049834",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.