RAJIV KANDALA M D S C
NPI 1114094281
Family Medicine in Chicago, IL
About Rajiv Kandala M D S C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAJIV KANDALA M D S C (NPI 1114094281) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Rajiv Kandala, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rajiv Kandala M D S C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Rajiv Kandala M D S C, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (19)
Chicago, IL 60649
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D1052767
Rajiv Kandala · Chicago, ILFrequently 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 Rajiv Kandala M D S C's NPI number?
The NPI number for Rajiv Kandala M D S C is 1114094281. It was assigned to this organization in the NPPES registry on November 30, 2006.
Where is Rajiv Kandala M D S C located?
Rajiv Kandala M D S C is located at 7531 S Stony Island #152, Chicago, IL 60649. The listed phone number is (773) 947-2831.
What is Rajiv Kandala M D S C's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rajiv Kandala M D S C enrolled in Medicare?
Yes. Rajiv Kandala M D S C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rajiv Kandala M D S C?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 3 Medicare specialties reassign their Medicare billing to Rajiv Kandala M D S C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (13), Internal Medicine (4) and Family Practice (2). Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rajiv Kandala M D S C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1052767) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rajiv Kandala M D S C accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Rajiv Kandala M D S C 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.
When was this NPI record last updated?
The NPPES record for Rajiv Kandala M D S C was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Rajiv Kandala M D S C · NPI 1114094281
Family Medicine organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1114094281 (Entity type: Organization)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Rajiv Kandala, SECRETARY
## Practice location
- **Address:** 7531 S STONY ISLAND, #152, Chicago, IL 60649
- **Phone:** (773) 947-2831
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Internal Medicine (4), Family Practice (2); 2 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 036109208 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114094281) · Data from the CMS NPPES public registry.