Individual provider Active NPI

Bharat Neelam Raju, MD

  • Internal Medicine Physician
  • Decatur, IL
National Provider Identifier
1942736053
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036162835 Issued in IL
Practice address
2300 N Edward St
Decatur, IL 62526-4192
Phone
(217) 876-8121
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036162835 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036162835 IL
Internal Medicine Physician 207R00000X 036162835 IL Primary

Addresses

Primary practice location

2300 N Edward St
Decatur, IL 62526-4192

Mailing address

2300 N Edward St
Decatur, IL 62526-4192
Phone (217) 876-8121

Other practice location 1

1600 W Walnut St
Jacksonville, IL 62650-1136
Phone (217) 245-9541

Other identifiers 1

IdentifierTypeStateIssuer
036162835OtherILMD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230816001882 IL Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Critical Care (Intensivists) 6103199427 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Nephrology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121

241 W Weaver Rd
Suite 145B
Forsyth, IL 62535-9766
Phone (217) 876-5220

800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.88 of 100Reported as group
Quality
63.91
Improvement activities
40
Cost
77.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036162835ILMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince Dec 11, 2024 Accepting new patients
Passavant Memorial Area Hospital Association Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Passavant Memorial Area Hospital Association Critical Care Medicine CurrentSince Jan 1, 2024 Accepting new patients
Decatur Memorial Hospital Internal Medicine CurrentSince Jul 31, 2023 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince Dec 11, 2024 Accepting new patients
Passavant Memorial Area Hospital Association CurrentSince Jan 7, 2026 Accepting new patients
Decatur Memorial Hospital CurrentSince Jul 31, 2023 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

Organizations & group practices 8

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 4

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1942736053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264192",
            "telephone_number": "217-876-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264192",
            "telephone_number": "217-876-8121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W Walnut St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "IL",
            "postal_code": "626501136",
            "country_code": "US",
            "telephone_number": "217-245-9541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELAM RAJU",
        "first_name": "BHARAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036162835",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036162835",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036162835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "036162835",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.