RUBY RAJU DO
NPI 1417570490
Pediatrics in Springfield, IL

Q: What is Ruby Raju's NPI number?

The NPI number for Ruby Raju is 1417570490. It was assigned to this individual provider in the NPPES registry on May 25, 2020.

Q: What is Ruby Raju's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Ruby Raju was last updated on May 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 25, 2020PECOS Enrolled

400 N 9TH ST # 4A, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: May 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ruby Raju Do NPPES

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

RUBY RAJU DO (NPI 1417570490) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (125076600) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417570490

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameRUBY RAJUCredential: DO

Location Address400 N 9TH ST # 4ASpringfield, IL 62702-5310

Mailing AddressPo Box 19658Springfield, IL 62794-9658

Phone(217) 545-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 25, 2020

NPPES CertifiedMay 25, 2020

✔ NPI 1417570490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 125076600

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

400 N 9TH ST # 4A, Springfield, IL 62702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruby Raju Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416372248

PECOS Enrollment IDI20250801001183

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

JOHN PADANILAM

Pediatrics