DR. JITHINRAJ EDAKKANAMBETH VARAYIL MD
NPI 1033591847
Family Medicine in Rockford, IL

Q: What is Jithinraj Edakkanambeth Varayil's NPI number?

The NPI number for Jithinraj Edakkanambeth Varayil is 1033591847. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Q: What is Jithinraj Edakkanambeth Varayil's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment

1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600(815) 490-1881 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2021, Aug 10, 2021, Aug 15, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Jithinraj Edakkanambeth Varayil Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JITHINRAJ EDAKKANAMBETH VARAYIL MD (NPI 1033591847) is an individual family medicine provider in Rockford, Illinois, licensed in Minnesota (69874) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033591847

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JITHINRAJ EDAKKANAMBETH VARAYILCredential: MD

Location Address1200 W STATE STRockford, IL 61102

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(815) 490-1600

Fax(815) 490-1881

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 29, 2015

Last NPPES UpdateSeptember 27, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2021

✔ NPI 1033591847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MN · 69874✔ Licensed in IL · 125-067838

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125-067838 (IL)

1200 W STATE ST, Rockford, IL 61102

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Secondary Practice Locations 2

Location 11221 E State StRockford, IL 61104-2231 · Phone (815) 972-1000 · Fax (815) 972-1093

Location 2200 1st St SWRochester, MN 55905-0002 · Phone (507) 284-2511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jithinraj Edakkanambeth Varayil Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678878741

PECOS Enrollment IDI20211007001015

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

39 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

36 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARYN ANN RUZIC APRN

Nurse Practitioner (Family)