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PRIANKA RAJU MD
NPI 1487019485
Hospitalist in Chicago, IL

Active since December 18, 2015PECOS EnrolledAccepts Medicare Assignment
240 E HURON ST STE 1-200, SUITE 1-200, CHICAGO, IL 60611(248) 660-6693 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 20, 2023, Oct 25, 2023, Dec 18, 2015 (3 updates tracked since 2015).

About Prianka Raju Md NPPES

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

PRIANKA RAJU MD (NPI 1487019485) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036.166343) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Northwestern University Feinberg Medical School (2020).

NPPES Registry Identity

NPI1487019485
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePRIANKA RAJUCredential: MD
Location Address240 E HURON ST STE 1-200, SUITE 1-200Chicago, IL 60611-2909
Mailing Address240 E Huron St Ste 1-200, Suite 1-200Chicago, IL 60611-2909
Phone(248) 660-6693
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2020
Enumeration DateDecember 18, 2015
Last NPPES UpdateNovember 20, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1487019485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036.166343
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036.166343 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
240 E HURON ST STE 1-200, Chicago, IL 60611
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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

Prianka Raju 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 ID5698122125
PECOS Enrollment IDI20231106001714
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 Prianka Raju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
12 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

CLAYTON LYONS
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (412) 926-8985
BRIAN LEE
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
KATHERINE FIONA SIMPSON
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
ANYA DHAR
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
MR. CADE FREDERICK BENNETT
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
NIRAJ VINAYAK LAWANDE
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
JUSTIN WANG
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975
CALVIN THOMAS HAWE
Student in an Organized Health Care Education/Training Program
240 E HURON ST STE 1-200
CHICAGO, IL 60611
Cook County (312) 503-7975

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 Prianka Raju's NPI number?

The NPI number for Prianka Raju is 1487019485. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Where is Prianka Raju located?

Prianka Raju practices at 240 E Huron St Ste 1-200 Suite 1-200, Chicago, IL 60611. The listed phone number is (248) 660-6693.

What is Prianka Raju's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prianka Raju enrolled in Medicare?

Yes. Prianka Raju 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 Prianka Raju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prianka Raju reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, 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 Prianka Raju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Prianka Raju affiliated with any hospitals?

According to CMS data, Prianka Raju is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Prianka Raju was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.