Individual provider Active NPI

R Rajasekhar, MD SC

  • Specialist
  • Chicago, IL
National Provider Identifier
1679504682
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036049834 Issued in IL
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

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036049834MedicaidIL

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

LicenseStateTypeSpecialty
036049834ILMDSpecialist

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.

Verify at the official NPI Registry.