Organization Active NPI

Jayashree R. Raju, D.O., P.C.

  • Internal Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1851484679
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036090272 Issued in IL
Legal business name
JAYASHREE R. RAJU, D.O., P.C.
Practice address
1585 N Barrington Rd Ste 204
Hoffman Estates, IL 60169-5019
Phone
(847) 221-2900
Fax
(847) 221-5900
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Jayashree R. Raju, DONPI 1598791170
Title
President
Phone
(602) 743-5099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036090272 IL Primary

Addresses

Primary practice location

1585 N Barrington Rd Ste 204
Hoffman Estates, IL 60169-5019

Mailing address

8 Lakeside Dr
South Barrington, IL 60010-5311
Phone (602) 743-5099

Other identifiers 1

IdentifierTypeStateIssuer
860956590OtherIL860956590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120824000832 IL Part B Supplier - Clinic/Group Practice 0749437895 Receives reassigned benefits from 1 practitioner
Practice locations: Hoffman Estates, IL

National Provider Directory

National Provider Directory

Locations

1616 W Algonquin Rd
Hoffman Estates, IL 60192

1555 N Barrington Rd
Ste 205
Hoffman Estates, IL 60169
Phone (630) 480-0490

1585 N Barrington Rd
Bldg 2
Hoffman Estates, IL 60169
Phone (847) 221-2900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1851484679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LAKESIDE DR",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600105311",
            "telephone_number": "602-743-5099",
            "fax_number": "847-221-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N BARRINGTON RD STE 204",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695019",
            "telephone_number": "847-221-2900",
            "fax_number": "847-221-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYASHREE R. RAJU, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "JAYASHREE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-743-5099",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036090272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "860956590",
            "identifier": "860956590",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.