Individual provider Active NPI

Rajesh T Iyengar, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1821023714
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-112541 Issued in IL
Practice address
3000 N Halsted St Ste 600
Chicago, IL 60657-9269
Phone
(773) 697-3729
Fax
(312) 533-2817
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-112541 IL Primary

Addresses

Primary practice location

3000 N Halsted St Ste 600
Chicago, IL 60657-9269

Mailing address

3000 N Halsted St Ste 600
Chicago, IL 60657-9269
Phone (773) 697-3729

Other identifiers 1

IdentifierTypeStateIssuer
036-112541MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041229000208 IL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 3274591821 Reassigns benefits to 4 organizations
I20220714001733 IN Practitioner - Family Practice 3274591821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radial Wound PLLCGroup PAC ID 4082140918, 7 clinicians
Sunshine Wounds LLCGroup PAC ID 0840726212, 6 clinicians
Instavaxx LLCGroup PAC ID 7911305586, 4 clinicians

Practice addresses (Care Compare)

Chicago, IL 60611
Phone (872) 321-3162

110 Beverly Dr
Chesterton, IN 46304-9368
Phone (219) 926-8387

3000 N Halsted St
Suite 600
Chicago, IL 60657-9269
Phone (708) 237-9535

Hospital & facility affiliations

  • Advocate Hospice Hospice, Oak Brook, IL, CCN 141516
  • Avantara Lincoln Park Nursing home, Chicago, IL, CCN 145510

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue93
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112541ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Wounds LLC CurrentSince Oct 2, 2024 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Instavaxx LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Radial Wound PLLC CurrentSince Nov 1, 2024 Accepting new patients
Affiliated Oncologists, LLC CurrentSince Sep 1, 2024 Accepting new patients
Radial Health SC CurrentSince Jul 1, 2024 Accepting new patients
Midwest NP Care Services SC PastSince Mar 1, 2012 Accepting new patients
Rajiv Kandala M D S C Family Medicine PastSince Jun 27, 2021 Accepting new patients
Southside Primary Care Group SC Family Medicine PastSince Feb 11, 2024 Accepting new patients
Metropolitan Behavioral Associates, Inc. PastSince Jul 16, 2018 Accepting new patients
Extended Care Specialist, LTD Family Medicine Past Accepting new patients

Locations

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000

3000 N Halsted St
Ste 600
Chicago, IL 60657
Phone (708) 237-9535

2674 N Halsted St
Chicago, IL 60614
Phone (773) 694-3729

2940 W 87th St
Chicago, IL 60652
Phone (773) 265-3403

26895 Network Pl
Chicago, IL 60673

10604 Southwest Hwy
Ste 109
Chicago Ridge, IL 60415
Phone (708) 422-3242

1000 E Brighton Ln
Crystal Lake, IL 60012
Phone (815) 455-8400

3298 Resource Pkwy
DeKalb, IL 60115
Phone (815) 748-7076

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

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

2000 W Lake St
Hanover Park, IL 60133
Phone (224) 456-6662

550 Ridgeview Dr
McHenry, IL 60050
Phone (800) 455-6768

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

12220 Will Cook Rd
Palos Park, IL 60464
Phone (630) 257-2291

3705 Deerfield Rd
Riverwoods, IL 60015
Phone (847) 459-1200

850 Dunham Rd
St Charles, IL 60174
Phone (630) 443-4400

110 Beverly Dr
Chesterton, IN 46304
Phone (219) 613-2146

6685 E 117th Ave
Winfield, IN 46307
Phone (219) 662-0642

Interoperability endpoints

  • Direct secure messaging: rajeshiyengar@jph.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avantara Lincoln ParkChicago, IL, CCN 145510 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 6, 2023
Oct 6, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1821023714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579269",
            "telephone_number": "773-697-3729",
            "fax_number": "312-533-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579269",
            "telephone_number": "773-697-3729",
            "fax_number": "312-533-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "RAJESH",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-112541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-112541",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.