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MS. MONISSA RAJASRI M.D.
NPI 1508556333
Family Medicine in Dixon, IL

Active since May 15, 2023PECOS Enrolled
102 S. HENNEPIN AVE, DIXON, IL 61021(815) 285-8908(815) 285-8926 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2023, May 15, 2023 (2 updates tracked since 2023).

About Ms. Monissa Rajasri M.d. NPPES

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

MS. MONISSA RAJASRI M.D. (NPI 1508556333) is an individual family medicine provider in Dixon, Illinois, licensed in Illinois (125082430) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508556333
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. MONISSA RAJASRICredential: M.D.
Location Address102 S. HENNEPIN AVEDixon, IL 61021
Mailing Address102 S. Hennepin AveDixon, IL 61021 · (815) 285-8908 · Fax (815) 285-8926
Phone(815) 285-8908
Fax(815) 285-8926
Sole ProprietorYes
Enumeration DateMay 15, 2023
Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1508556333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125082430
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
102 S. HENNEPIN AVE, Dixon, IL 61021
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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 (PECOS)

Ms. Monissa Rajasri M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Monissa Rajasri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ksb Medical Group, Inc.
Same address
Clinic/Center
215 E 1ST ST, STE 101
Dixon, IL 61021
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1629046115 (815) 285-5973
Katherine Shaw Bethea Hospital
0.2 mi
General Acute Care Hospital
403 E 1ST ST
Dixon, IL 61021
  • Reassigned Medicare billing, Illinois enrollment
  • 64 clinicians in this Medicare group
NPI 1427043546 (815) 288-5521

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61021 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.

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 Monissa Rajasri's NPI number?

The NPI number for Monissa Rajasri is 1508556333. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Monissa Rajasri located?

Monissa Rajasri practices at 102 S. Hennepin Ave, Dixon, IL 61021. The listed phone number is (815) 285-8908.

What is Monissa Rajasri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monissa Rajasri enrolled in Medicare?

Yes. Monissa Rajasri is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monissa Rajasri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monissa Rajasri reassigns Medicare benefits to 2 organizations: Ksb Medical Group, Inc. (Dixon, IL) and Katherine Shaw Bethea Hospital (Dixon, IL). Each 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 Monissa Rajasri'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 Monissa Rajasri was last updated on December 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.