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PRABHA RAJAN MD
NPI 1205815305
Pathology - Anatomic Pathology in Maywood, IL

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
2160 S FIRST AVE, (EMS BLDG., RM. 2209), MAYWOOD, IL 60153(708) 216-3250(708) 216-2620 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prabha Rajan Md NPPES

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

PRABHA RAJAN MD (NPI 1205815305) is an individual anatomic pathology provider in Maywood, Illinois, licensed in Illinois (36108172) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1205815305
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NamePRABHA RAJANCredential: MD
Location Address2160 S FIRST AVE, (EMS BLDG., RM. 2209)Maywood, IL 60153
Mailing Address2160 S First Ave, (ems Bldg., Rm. 2209)Maywood, IL 60153 · (708) 216-3250 · Fax (708) 216-2620
Phone(708) 216-3250
Fax(708) 216-2620
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJanuary 17, 2006
Last NPPES UpdateMarch 4, 2010
✔ NPI 1205815305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in IL · 36108172
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2160 S FIRST AVE, Maywood, IL 60153
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedL98020IL
Medicare ID-Type Unspecified204144IL
Medicaid36108172IL
Medicare UPING61494

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

Prabha Rajan 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 ID4587693718
PECOS Enrollment IDI20230824000777
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 11

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.

Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
176 services97 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
164 services51 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
112 services72 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
98 services76 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
58 services43 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
57 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

RACHEL JUDITH DAVIS PSYD
Psychiatry & Neurology (Psychiatry)
2160 S FIRST AVE, LOYOLA UNIVERSITY MEDICAL CENTER 101-1740
MAYWOOD, IL 60153
Cook County (708) 216-9000
FRANCIS HARFORD MD
Surgery
2160 S FIRST AVE, EMS BLDG., 3RD FLOOR
MAYWOOD, IL 60153
Cook County (708) 327-2647
SHERINE HANNA MD
Anesthesiology
2160 S FIRST AVE, BLDG., RM. 3102
MAYWOOD, IL 60153
Cook County (708) 216-8866
HOLLY KRAMER MD
Internal Medicine (Nephrology)
2160 S FIRST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Cook County (708) 216-9000
TRAC XUAN NGHIEM MD
Emergency Medicine
2160 S FIRST AVE, EMS BLDG., RM. 2700
MAYWOOD, IL 60153
Cook County (708) 327-2700
MALIHA J SHAREEF MD
Pediatrics (Neonatal-Perinatal Medicine)
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 3307)
MAYWOOD, IL 60153
Cook County (708) 216-4403
PATRICK FAHEY MD
Internal Medicine (Critical Care Medicine)
2160 S FIRST AVE, LUH-NORTH ENT., RM. 7604
MAYWOOD, IL 60153
Cook County (708) 216-5402
COLEEN NAPOLITANO DPM
Orthopaedic Surgery
2160 S FIRST AVE, (7511 LEMONT RD, DARIEN, IL. 60561)
MAYWOOD, IL 60153
Cook County (630) 985-4989

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 Prabha Rajan's NPI number?

The NPI number for Prabha Rajan is 1205815305. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Prabha Rajan located?

Prabha Rajan practices at 2160 S First Ave (ems Bldg., Rm. 2209), Maywood, IL 60153. The listed phone number is (708) 216-3250.

What is Prabha Rajan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Prabha Rajan enrolled in Medicare?

Yes. Prabha Rajan 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 Prabha Rajan affiliated with any hospitals?

According to CMS data, Prabha Rajan is affiliated with Long Island Community Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Prabha Rajan was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.