MR. SARATH KUMAR JAGANATHAN JAISHANKAR MD
NPI 1306465893
Student in an Organized Health Care Education/Training Program in Peoria, IL
About Mr. Sarath Kumar Jaganathan Jaishankar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SARATH KUMAR JAGANATHAN JAISHANKAR MD (NPI 1306465893) is an individual student in an organized health care education/training program in Peoria, Illinois, licensed in Illinois (125075502) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Sarath Kumar Jaganathan Jaishankar 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.
Medicare Billing Reassignment
Medicare enrollment records show Sarath Kumar Jaganathan Jaishankar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Medical Center
Acute Care Hospitals · Peoria, ILOsf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, 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 Sarath Kumar Jaganathan Jaishankar's NPI number?
The NPI number for Sarath Kumar Jaganathan Jaishankar is 1306465893. It was assigned to this individual provider in the NPPES registry on April 14, 2020.
Where is Sarath Kumar Jaganathan Jaishankar located?
Sarath Kumar Jaganathan Jaishankar practices at 530 NE Glenn Oak Avenue, Peoria, IL 61637. The listed phone number is (309) 655-2702.
What is Sarath Kumar Jaganathan Jaishankar's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sarath Kumar Jaganathan Jaishankar enrolled in Medicare?
Yes. Sarath Kumar Jaganathan Jaishankar 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.
Which organization bills Medicare for Sarath Kumar Jaganathan Jaishankar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarath Kumar Jaganathan Jaishankar reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The 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 Sarath Kumar Jaganathan Jaishankar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sarath Kumar Jaganathan Jaishankar affiliated with any hospitals?
According to CMS data, Sarath Kumar Jaganathan Jaishankar is affiliated with Saint Francis Medical Center and Osf Saint Elizabeth Mdl Ctr.
When was this NPI record last updated?
The NPPES record for Sarath Kumar Jaganathan Jaishankar was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Sarath Kumar Jaganathan Jaishankar, MD · NPI 1306465893
Student in an Organized Health Care Education/Training Program provider in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since April 14, 2020.
## Identity
- **NPI:** 1306465893 (Entity type: Individual)
- **Enumerated:** April 14, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 125075502 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 NE GLENN OAK AVENUE, Peoria, IL 61637-0001
- **Phone:** (309) 655-2702
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1306465893) · Data from the CMS NPPES public registry.