NPIMap

Individual provider Active NPI

Jayaraj Salimath, D.O.

  • Surgery Physician
  • Peoria, IL
National Provider Identifier
1720020308
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS9781 Issued in FL
Practice address
900 Main St
Suite 530
Peoria, IL 61602-1005
Phone
(309) 672-5975
Fax
(309) 655-1678
NPI assigned
Jun 11, 2006
Last updated
Sep 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS9781 FL Primary
Surgery Physician 208600000X 036117950 IL

Addresses

Primary practice location

900 Main St
Suite 530
Peoria, IL 61602-1005

Mailing address

900 Main St
Suite 530
Peoria, IL 61602-1005
Phone (309) 672-5975

Other identifiers 1

IdentifierTypeStateIssuer
036117950MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070822000214 IL Practitioner - General Surgery 3274546411 Reassigns benefits to 3 organizations
I20231113002418 IA Practitioner - Internal MedicinePractitioner - General Surgery 3274546411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

1223 S Gear Ave
West Burlington, IA 52655-1685

221 NE Glen Oak Ave
Peoria, IL 61636-0001

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 376-2134

600 S 13TH St
Pekin, IL 61554-4936

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

900 Main St
Suite 470And490
Peoria, IL 61602-1005
Phone (309) 672-4565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as apm
Quality
75.65
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy50
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux68
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036117950ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Apr 1, 2018 Accepting new patients
Henry County Health Center Inc CurrentSince Dec 1, 2023 Accepting new patients
Preferred Emergency Physicians of Illinois, LLC Current Accepting new patients
Pekin Prohealth Inc CurrentSince Apr 1, 2018 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Southeast Iowa Regional Medical Center, Inc. Past Accepting new patients

Locations

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

1223 S Gear Ave
Ste 202
West Burlington, IA 52655
Phone (319) 754-6541

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 671-7779

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

900 Main St
Ste 500
Peoria, IL 61602
Phone (309) 637-3500

900 Main St
Ste 530
Peoria, IL 61602
Phone (309) 642-6705

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: jayaraj.salimath.2@28977.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1720020308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "SUITE 530",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021005",
            "telephone_number": "309-672-5975",
            "fax_number": "309-655-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "SUITE 530",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021005",
            "telephone_number": "309-672-5975",
            "fax_number": "309-655-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIMATH",
        "first_name": "JAYARAJ",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS9781",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036117950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117950",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.