1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Pediatrics
  6. NPI Profile

DR. VIMAL MASTER SANKAR RAJ MD
NPI 1336339597
Pediatrics - Pediatric Nephrology in Peoria, IL

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-8884 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vimal Master Sankar Raj Md NPPES

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

DR. VIMAL MASTER SANKAR RAJ MD (NPI 1336339597) is an individual pediatric nephrology provider in Peoria, Illinois, licensed in Illinois (036133119) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1336339597
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameDR. VIMAL MASTER SANKAR RAJCredential: MD
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-3105
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 624-8884
Phone(309) 624-8884
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 25, 2007
Last NPPES UpdateApril 27, 2016
✔ NPI 1336339597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in IL · 036133119
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
530 NE GLEN OAK AVE, Peoria, IL 61637
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. Vimal Master Sankar Raj 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 ID9335381391
PECOS Enrollment IDI20130805000495
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.

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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Vimal Master Sankar Raj's NPI number?

The NPI number for Vimal Master Sankar Raj is 1336339597. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Vimal Master Sankar Raj located?

Vimal Master Sankar Raj practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-8884.

What is Vimal Master Sankar Raj's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Vimal Master Sankar Raj enrolled in Medicare?

Yes. Vimal Master Sankar Raj 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.

When was this NPI record last updated?

The NPPES record for Vimal Master Sankar Raj was last updated on April 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.