Rakesh K Garg, MD
Individual provider Active NPI Neurology Physician · Peru, IL
NPI 1962476184 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1962476184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 036066140 (IL)
- Practice address
- 4231 Progress Blvd
Peru, IL 61354 - Phone
- (815) 223-7144
- Fax
- (815) 223-7989
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advocate Health and Hospitals Corporation
Hospital and Medical Foundation of Paris Inc
Practice addresses (Care Compare)
11824 Southwest Hwy
Suite 100
Palos Heights, IL 60463-1083
Phone (708) 361-0220
721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141
727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411
745 E Court St
Paris, IL 61944-2460
Phone (217) 466-4170
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
- Advocate Trinity Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041005000548 | IL | Practitioner - Neurology | 9436118502 |
Reassigns benefits to 4 organizations Practice locations: Peru, IL |
| I20200530000054 | WI | Practitioner - Neurology | 9436118502 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036066140 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Morris Hospital | Neurology | Current | Accepting new patients |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Morris Hospital | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients | |
| Bureau Valley Anesthesia Group, Inc. | Past | Accepting new patients | |
| KSB Medical Group, Inc. | Past | Accepting new patients | |
| Home Bound Healthcare, Inc. | Past | Accepting new patients |
Locations
389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
25259 S Reed St
Channahon, IL 60410
Phone (815) 467-0555
29373 Network Pl
Chicago, IL 60673
1802 N Division St
Ste 703
Morris, IL 60450
Phone (815) 941-8000
150 W High St
Morris, IL 60450
Phone (815) 942-2129
11824 Southwest Hwy
Ste 100
Palos Heights, IL 60463
Phone (708) 361-0222
727 E Court St
Paris, IL 61944
Phone (217) 465-4141
721 E Court St
Paris, IL 61944
Phone (217) 465-4141
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
- rakesh.garg@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036066140 | IL | Yes |
Addresses
Primary practice location
4231 Progress Blvd
Peru, IL 61354
Mailing address
4231 Progress Blvd
Peru, IL 61354-1193
Phone (815) 223-7144
Other practice location 1
11824 Southwest Hwy Ste 100
Palos Heights, IL 60463-1083
Phone (708) 361-0222
Other practice location 2
215 E 1st St Ste 111
Dixon, IL 61021-3175
Phone (815) 285-5477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400274796 | Other | IL | MEDICARE |
| 036066140 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | rgarg413112@direct.myadvocateaurora.org | Direct |
Other providers in Peru, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.