JEFFREY RAJKUMAR
NPI 1396327110
Student in an Organized Health Care Education/Training Program in North New Hyde Park, NY

Active since April 21, 2021PECOS Enrolled
1991 MARCUS AVE STE 300, NORTH NEW HYDE PARK, NY 11042(516) 719-3376 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2026, Apr 21, 2021 (2 updates tracked since 2021).

About Jeffrey Rajkumar NPPES

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

JEFFREY RAJKUMAR (NPI 1396327110) is an individual student in an organized health care education/training program in North New Hyde Park, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2022).

NPPES Registry Identity

NPI1396327110
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEFFREY RAJKUMAR
Location Address1991 MARCUS AVE STE 300North New Hyde Park, NY 11042-2058
Mailing Address1991 Marcus Ave Ste 300North New Hyde Park, NY 11042-2058 · (309) 642-9122
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2022
Enumeration DateApril 21, 2021
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1396327110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
1991 MARCUS AVE STE 300, North New Hyde Park, NY 11042

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Rajkumar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032615000
PECOS Enrollment IDI20250930001999
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 Billing Reassignment

Medicare enrollment records show Jeffrey Rajkumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Dermatopathology)
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Dermatology (MOHS-Micrographic Surgery)
1991 MARCUS AVE STE 300
NORTH NEW HYDE PARK, NY 11042
Dermatology
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Physician Assistant
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Dermatology
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Dermatology
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Dermatology
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042
Dermatology
1991 MARCUS AVE STE 300
NEW HYDE PARK, NY 11042

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 Jeffrey Rajkumar's NPI number?

The NPI number for Jeffrey Rajkumar is 1396327110. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Jeffrey Rajkumar located?

Jeffrey Rajkumar practices at 1991 Marcus Ave Ste 300, North New Hyde Park, NY 11042. The listed phone number is (516) 719-3376.

What is Jeffrey Rajkumar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeffrey Rajkumar enrolled in Medicare?

Yes. Jeffrey Rajkumar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Rajkumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Rajkumar reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Jeffrey Rajkumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Rajkumar was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.