YAVEEN K SANTHIRAJ MD
NPI 1104072362
Internal Medicine in Chicago, IL

Active since August 07, 2008PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
251 E HURON ST, SUITE 16-738, CHICAGO, IL 60611(312) 926-0008 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2021, Sep 14, 2020 (2 updates tracked since 2020).

About Yaveen K Santhiraj Md NPPES

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

YAVEEN K SANTHIRAJ MD (NPI 1104072362) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036-131610) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Rush Medical College Of Rush University (2007).

NPPES Registry Identity

NPI1104072362
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameYAVEEN K SANTHIRAJCredential: MD
Location Address251 E HURON ST, SUITE 16-738Chicago, IL 60611-2908
Mailing Address251 E Huron St, Suite 16-738Chicago, IL 60611-2908
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2007
Enumeration DateAugust 7, 2008
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
NPI 1104072362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036-131610
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 036.131610 (IL)
251 E HURON ST, Chicago, IL 60611

Accepted 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

Yaveen K Santhiraj 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 ID4880882349
PECOS Enrollment IDI20130711000094
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
103 services31 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
28 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

Pathology (Anatomic Pathology & Clinical Pathology)
251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611
Anesthesiology
251 E HURON ST
CHICAGO, IL 60611
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Emergency Medicine
251 E HURON ST
CHICAGO, IL 60611
Dermatology
251 E HURON ST
CHICAGO, IL 60611
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Obstetrics & Gynecology
251 E HURON ST
CHICAGO, IL 60611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yaveen Santhiraj's NPI number?

The NPI number for Yaveen Santhiraj is 1104072362. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Yaveen Santhiraj located?

Yaveen Santhiraj practices at 251 E Huron St Suite 16-738, Chicago, IL 60611. The listed phone number is (312) 926-0008.

What is Yaveen Santhiraj's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yaveen Santhiraj enrolled in Medicare?

Yes. Yaveen Santhiraj is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Yaveen Santhiraj accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Yaveen Santhiraj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Yaveen Santhiraj affiliated with any hospitals?

According to CMS data, Yaveen Santhiraj is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Yaveen Santhiraj was last updated on April 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.