MR. SARATH KUMAR JAGANATHAN JAISHANKAR MD
NPI 1306465893
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
530 NE GLENN OAK AVENUE, PEORIA, IL 61637(309) 655-2702 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2025, May 9, 2024, Feb 22, 2022 and 1 more (4 updates tracked since 2020).

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

NPI1306465893
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SARATH KUMAR JAGANATHAN JAISHANKARCredential: MD
Location Address530 NE GLENN OAK AVENUEPeoria, IL 61637-0001
Mailing Address530 Ne Glenn Oak AvenuePeoria, IL 61637-0001 · (309) 655-2702
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 14, 2020
Last NPPES UpdateFebruary 22, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
NPI 1306465893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IL · 125075502
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NE GLENN OAK AVENUE, Peoria, IL 61637

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

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.

PECOS PAC ID1355769977
PECOS Enrollment IDI20250804000562
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.

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, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

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 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.

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.