Individual provider Active NPI

Kavitha Raman, MD

  • Internal Medicine Physician
  • Urbana, IL
National Provider Identifier
1699797555
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036099624 Issued in IL
Practice address
1400 W Park St
Urbana, IL 61801-2334
Phone
(217) 337-2462
Fax
(217) 337-4541
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036099624 IL Primary

Addresses

Primary practice location

1400 W Park St
Urbana, IL 61801-2334

Mailing address

1100 Tuscola Blvd
Tuscola, IL 61953-2065
Phone (217) 253-2020

Other practice location 1

1100 Tuscola Blvd
Tuscola, IL 61953-2065
Phone (217) 253-2020

Other identifiers 1

IdentifierTypeStateIssuer
036099624MedicaidIL

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
I20050725001142 IL Practitioner - Internal Medicine 0648207266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1100 Tuscola Blvd
Tuscola, IL 61953-2065
Phone (217) 253-4764

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036099624ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health SC CurrentSince Jun 11, 2019 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Dec 1, 2025 Accepting new patients
Sarah Bush Lincoln Health Center Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

100 Deerpath
Charleston, IL 61920
Phone (217) 345-2727

26895 Network Pl
Chicago, IL 60673

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1990 Larkin Ave
Ste 3
Elgin, IL 60123
Phone (630) 201-1533

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1100 Tuscola Blvd
Tuscola, IL 61953
Phone (217) 253-2020

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

Organizations & group practices 5

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 4

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1699797555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TUSCOLA BLVD",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619532065",
            "telephone_number": "217-253-2020",
            "fax_number": "217-253-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012334",
            "telephone_number": "217-337-2462",
            "fax_number": "217-337-4541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Tuscola Blvd",
            "address_purpose": "LOCATION",
            "city": "Tuscola",
            "state": "IL",
            "postal_code": "619532065",
            "country_code": "US",
            "telephone_number": "217-253-2020",
            "fax_number": "217-253-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAN",
        "first_name": "KAVITHA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036099624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099624",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.