Active NPI
Bharat Neelam Raju, MD
- Internal Medicine Physician
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036162835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036162835 | Other | IL | MD 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036162835 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Passavant Memorial Area Hospital Association | Internal Medicine | Current | Accepting new patients |
| Passavant Memorial Area Hospital Association | Critical Care Medicine | Current | Accepting new patients |
| Decatur Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Passavant Memorial Area Hospital Association | Current | Accepting new patients | |
| Decatur Memorial Hospital | Current | 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Elgin, IL
- NPI 1821641499
-
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
-
- Internal Medicine Physician
- Jacksonville, IL
- NPI 1760994040
-
- Critical Care Medicine (Internal Medicine) Physician
- Kankakee, IL
- NPI 1174320873
-
- Critical Care Medicine (Internal Medicine) Physician
- Chicago, IL
- NPI 1871071837
-
- Multi-Specialty Clinic/Center
- Decatur, IL
- NPI 1477276301
-
- Multi-Specialty Clinic/Center
- Jacksonville, IL
- NPI 1235864810
Critical Care Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.
- 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.