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DR. RAHUL NAYANI MD
NPI 1144515115
Internal Medicine - Gastroenterology in Springfield, IL

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
301 N 8TH ST, SPRINGFIELD, IL 62701(217) 528-7541 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2020, Sep 26, 2019, Aug 14, 2017 (3 updates tracked since 2017).

About Dr. Rahul Nayani Md NPPES

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

DR. RAHUL NAYANI MD (NPI 1144515115) is an individual gastroenterology provider in Springfield, Illinois, licensed in Illinois (036142150) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1144515115
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAHUL NAYANICredential: MD
Location Address301 N 8TH STSpringfield, IL 62701-1041
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Phone(217) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 17, 2011
Last NPPES UpdateMay 21, 20203 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
✔ NPI 1144515115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036142150
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
301 N 8TH ST, Springfield, IL 62701
Open in Google Maps ↗

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. Rahul Nayani 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 ID5193950293
PECOS Enrollment IDI20170821000992
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 9

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 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.
85 services81 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.
82 services59 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
73 services73 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
68 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Mason District Hospital

Critical Access Hospitals · Havana, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141313
Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County
Emergency services

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

REBECCA L SAUNDERS CPNP
Nurse Practitioner
301 N 8TH ST, PAV 4B
SPRINGFIELD, IL 62701
Sangamon County (217) 545-7500
TRACY P MILBRANDT M.D.
Pediatrics
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 545-4238
ASHLEY KIRKPATRICK MSN,FNP-BC
Nurse Practitioner (Family)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-8000
JENNIFER LOUISE BERRY AUD
Audiologist
301 N 8TH ST, PAV 5B
SPRINGFIELD, IL 62701
Sangamon County (217) 545-6099
JOSHUA DALE CAMPBELL APRN
Nurse Practitioner (Adult Health)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-7541
TODD DAVID ELMORE MD
Psychiatry & Neurology (Neurology)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-7541
CRAIG E BATTERMAN M.D.
Pediatrics
301 N 8TH ST, STE PAV4A
SPRINGFIELD, IL 62701
Sangamon County (217) 545-4238
JOHN R FISK M.D.
Orthopaedic Surgery
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 545-7500

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 Rahul Nayani's NPI number?

The NPI number for Rahul Nayani is 1144515115. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Rahul Nayani located?

Rahul Nayani practices at 301 N 8th St, Springfield, IL 62701. The listed phone number is (217) 528-7541.

What is Rahul Nayani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rahul Nayani enrolled in Medicare?

Yes. Rahul Nayani 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.

Is Rahul Nayani affiliated with any hospitals?

According to CMS data, Rahul Nayani is affiliated with St Johns Hospital, Memorial Medical Center, Mason District Hospital, Taylorville Memorial Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rahul Nayani was last updated on May 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.