Active NPI
Aarti Jagdish Raut, M.D.
- Pediatrics Physician
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036070024
- Practice address
- 3249 Oak Park Ave
Berwyn, IL 60402-3429 - Phone
- (708) 783-9100
- Fax
- (708) 783-2053
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036070024 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Q1002 | TX | |
| Hospitalist Physician | 208M00000X | 036070024 | IL | |
| Pediatrics Physician | 208000000X | 036070024 | IL | Primary |
Addresses
Primary practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Mailing address
1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 355494101 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | araut237631@direct.luhs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of the University of Illinois | Pediatrics | Current | Accepting new patients |
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Pediatrix Medical Group of Texas Billing, Inc. | Pediatrics | Current | Accepting new patients |
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| Midwest Neoped Associates LTD | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
7694 Solutions Ctr
Chicago, IL 60677
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161
125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855
Organizations & group practices 9
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.
-
- General Practice Physician
- Berwyn, IL
- NPI 1013415603
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
Pediatrics
-
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
-
- Psychiatric Hospital Unit
- Berwyn, IL
- NPI 1700864352
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Specialist
- Oak Brook, IL
- NPI 1396792180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1902813546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012334",
"telephone_number": "217-337-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3249 OAK PARK AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023429",
"telephone_number": "708-783-9100",
"fax_number": "708-783-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUT",
"first_name": "AARTI",
"middle_name": "JAGDISH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036070024",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "Q1002",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036070024",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036070024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "355494101",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "araut237631@direct.luhs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3249 Oak Park Ave",
"city": "Berwyn",
"state": "IL",
"country_code": "US",
"postal_code": "604023429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.