Raj Jeevan, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

01030797 Issued in IN

Practice address

1625 N 4TH St
Terre Haute, IN 47804-4067

Phone

(812) 232-8716

Fax

(812) 232-7768

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 1971

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Internal Medicine Nephrology, Inc.Group PAC ID 0547267759, 2 clinicians

Kidney and Hypertension Center of Wabash Valley LLCGroup PAC ID 5799911145, 9 clinicians

Kidney and Hypertension Specialists, PLLCGroup PAC ID 7618312331, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Terre Haute Dialysis Dialysis facility, Terre Haute, IN, CCN 152689
• Horizon Health Dialysis Center Dialysis facility, Paris, IL, CCN 142341
• DaVita Highland Dialysis Dialysis facility, Terre Haute, IN, CCN 152710
• DaVita Brazil Dialysis Dialysis facility, Brazil, IN, CCN 152683
• DaVita Sullivan Dialysis Dialysis facility, Sullivan, IN, CCN 152685
• Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
• Paris Community Hospital Hospital, Paris, IL, CCN 141320
• Union Hospital Clinton Hospital, Clinton, IN, CCN 151326
• Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327
• Ascension St Vincent Clay Hospital, Brazil, IN, CCN 151309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raj.jeevan@imn.eclinicaldirectplus.com
• Direct secure messaging: rjeevan@unionhealth.cernerdirect.com

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.

• Internal Medicine Nephrology, Inc.

  • Nephrology Physician
  • Terre Haute, IN
  • NPI 1083662779

  IL

  Medicare reassignment Care Compare group NPD
• Kidney and Hypertension Specialists, PLLC

  • Nephrology Physician
  • Terre Haute, IN
  • NPI 1295436087

  IL

  Medicare reassignment Care Compare group NPD
• Kidney and Hypertension Center of Wabash Valley, LLC

  • Nephrology Physician
  • Terre Haute, IN
  • NPI 1396182788

  IL

  Medicare reassignment Care Compare group
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Drummer Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brazil, IN
  • NPI 1083163406

  Dialysis facility

  Care Compare affiliation Name & address match
• Ferne Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Terre Haute, IN
  • NPI 1164972550

  Dialysis facility

  Care Compare affiliation Name & address match
• Solidago Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sullivan, IN
  • NPI 1619499225

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Terre Haute, IN
  • NPI 1245909902

  Dialysis facility

  Care Compare affiliation Name & address match
• Hospital & Medical Foundation of Paris, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Paris, IL
  • NPI 1366179251

  Dialysis facility

  Care Compare affiliation Name & address match
• St. Vincent Clay Hospital, Inc

  • Critical Access Hospital
  • Brazil, IN
  • NPI 1770533994
  Care Compare affiliation
• Sullivan County Community Hospital

  • Critical Access Hospital Clinic/Center
  • Sullivan, IN
  • NPI 1487450698
  Care Compare affiliation
• Sullivan County Community Hospital

  • Clinic/Center
  • Sullivan, IN
  • NPI 1497363303

  Hospital

  Care Compare affiliation
• Sullivan County Community Hospital

  • Critical Access Hospital
  • Sullivan, IN
  • NPI 1497759260
  Care Compare affiliation
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  Care Compare affiliation
• Union Hospital, Inc

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1821859752
  Care Compare affiliation
• Union Hospital, Inc.

  • Critical Access Hospital
  • Clinton, IN
  • NPI 1306844519
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1851349682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044067",
            "telephone_number": "812-232-8716",
            "fax_number": "812-232-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044067",
            "telephone_number": "812-232-8716",
            "fax_number": "812-232-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEEVAN",
        "first_name": "RAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01030797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4954272007",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000084502",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J Janicki, MD
• Janus RX
• Morgan McKayla Jarvis, DNP, CRNA
• Lynnaire Jastillano, PA-C
• Jean L Kristeller PH D
• Asieavae M Jeffers
• Jeffery a Bollenbacher DO PSC
• Lauren Jenkins, OD
• Gregory D. Jennings, DDS
• Julia Jensen

• Nephrology Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.