DR. RAHUL RAUNIYAR M.D.
NPI 1558926907
Hospitalist in Chicago, IL

Q: What is Rahul Rauniyar's NPI number?

The NPI number for Rahul Rauniyar is 1558926907. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Q: What is Rahul Rauniyar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rahul Rauniyar was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 01, 2019PECOS EnrolledAccepts Medicare Assignment

80.83/100

CMS Quality Rating

1500 S FAIRFIELD AVE, CHICAGO, IL 60608(773) 542-2000 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 11, 2022, Sep 3, 2019, May 1, 2019 (3 updates tracked since 2019).

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About Dr. Rahul Rauniyar M.d. NPPES

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

DR. RAHUL RAUNIYAR M.D. (NPI 1558926907) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036158800) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558926907

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. RAHUL RAUNIYARCredential: M.D.

Location Address1500 S FAIRFIELD AVEChicago, IL 60608-1782

Mailing Address1500 S Fairfield AveChicago, IL 60608-1782 · (773) 542-2000

Phone(773) 542-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 1, 2019

Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration

NPPES CertifiedAugust 11, 2022

✔ NPI 1558926907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036158800

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.

1500 S FAIRFIELD AVE, Chicago, IL 60608

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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 and accepts Medicare assignment

Dr. Rahul Rauniyar M.d. 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 ID4789916719

PECOS Enrollment IDI20220617002169

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 5

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.

144 services69 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

59 services34 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

40 services40 patients

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.

35 services35 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140018

Location1500 S Fairfield AveChicago, IL 60608 · Cook County

Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140133

Location2701 W 68th StreetChicago, IL 60629 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.96

Promoting Interoperability

Improvement Activities

Cost

63.15

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.

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