Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAUNAK SUNIL KHISTY
NPI 1558620146
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bradley, IL

Q: What is Raunak Khisty's NPI number?

The NPI number for Raunak Khisty is 1558620146. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Q: What is Raunak Khisty's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Raunak Khisty was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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 16, 2012PECOS Enrolled

400 S KENNEDY DR STE 300, BRADLEY, IL 60915(815) 937-1237(815) 933-0662 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Oct 9, 2024, Mar 22, 2021 and 2 more (5 updates tracked since 2017).

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About Raunak Sunil Khisty NPPES

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

RAUNAK SUNIL KHISTY (NPI 1558620146) is an individual child & adolescent psychiatry provider in Bradley, Illinois, licensed in Illinois (036144216) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1558620146

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameRAUNAK SUNIL KHISTY

Location Address400 S KENNEDY DR STE 300Bradley, IL 60915-2682

Mailing Address400 S Kennedy DrBradley, IL 60915-2682 · (815) 937-1237 · Fax (815) 933-0662

Phone(815) 937-1237

Fax(815) 933-0662

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateMay 16, 2012

Last NPPES UpdateJuly 21, 20265 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1558620146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in IL · 036144216

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036144216 (IL)

400 S KENNEDY DR STE 300, Bradley, IL 60915

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Raunak Sunil Khisty 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 ID8921310780

PECOS Enrollment IDI20171106003028, I20240716002549

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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

218 services87 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

55 services51 patients

Hospital Affiliations CMS Care Compare

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140186

Location350 N Wall StKankakee, IL 60901 · Kankakee County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

AMIRREZA FALLAHI DO

Psychiatry & Neurology (Psychiatry)