1. Home
  2. Directory
  3. Illinois
  4. Naperville
  5. Internal Medicine
  6. NPI Profile

RAJIVE TANDON M.D.
NPI 1104878115
Internal Medicine - Pulmonary Disease in Naperville, IL

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
100 SPALDING DR STE 200, NAPERVILLE, IL 60540(630) 355-8776 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, Nov 4, 2020, Jun 7, 2019 and 2 more (5 updates tracked since 2016).

About Rajive Tandon M.d. NPPES

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

RAJIVE TANDON M.D. (NPI 1104878115) is an individual pulmonary disease provider in Naperville, Illinois, licensed in Illinois (036-112061) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1997).

NPPES Registry Identity

NPI1104878115
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRAJIVE TANDONCredential: M.D.
Location Address100 SPALDING DR STE 200Naperville, IL 60540-6552
Mailing Address100 Spalding Dr Ste 200Naperville, IL 60540-6552 · (630) 355-8776
Phone(630) 355-8776
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1997
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 6, 20215 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1104878115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 036-112061
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036-112061 (IL)
100 SPALDING DR STE 200, Naperville, IL 60540
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Rajive Tandon M.d. 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 ID7113814419
PECOS Enrollment IDI20050418000870
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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
150 services69 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
59 services37 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 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
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.
15 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Provident Hospital Of Chicago

Acute Care Hospitals · Chicago, IL
OwnershipGovernment - Local
CMS Certification Number140300
Location500 E 51st StChicago, IL 60615 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims58 services$1.57 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers102 claims102 services$15.50 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers43 claims43 services$912.85 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
3 suppliers51 claims51 services$858.00 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers38 claims38 services$4.18 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers19 claims19 services$29.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. JASSHAN MAHESH MEHROTRA M.D.
Internal Medicine (Pulmonary Disease)
100 SPALDING DR STE 200
NAPERVILLE, IL 60540
Dupage County (630) 355-8776
DR. EDWARD ROBERT KESSLER M.D.
Internal Medicine (Pulmonary Disease)
100 SPALDING DR STE 200
NAPERVILLE, IL 60540
Dupage County (630) 355-8776
MS. REEM BECKERLY DO
Psychiatry & Neurology (Sleep Medicine)
100 SPALDING DR STE 200
NAPERVILLE, IL 60540
Dupage County (630) 355-8776
MRS. SARA E. PIASECKI APN-CNP
Nurse Practitioner
100 SPALDING DR STE 200
NAPERVILLE, IL 60540
Dupage County (630) 355-8776

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 Rajive Tandon's NPI number?

The NPI number for Rajive Tandon is 1104878115. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Rajive Tandon located?

Rajive Tandon practices at 100 Spalding Dr Ste 200, Naperville, IL 60540. The listed phone number is (630) 355-8776.

What is Rajive Tandon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rajive Tandon enrolled in Medicare?

Yes. Rajive Tandon 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 Rajive Tandon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Rajive Tandon 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 Rajive Tandon affiliated with any hospitals?

According to CMS data, Rajive Tandon is affiliated with John H Stroger Jr Hospital, Presence Saint Joseph Hospital - Chicago and Provident Hospital Of Chicago.

When was this NPI record last updated?

The NPPES record for Rajive Tandon was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.