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ATIF RAJA M.D.
NPI 1689815193
Emergency Medicine in Rushville, IL

Active since March 12, 2009PECOS EnrolledAccepts Medicare Assignment
238 S CONGRESS ST, RUSHVILLE, IL 62681(217) 322-4321(217) 322-2546 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2023, Nov 14, 2023 (2 updates tracked since 2023).

About Atif Raja M.d. NPPES

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

ATIF RAJA M.D. (NPI 1689815193) is an individual emergency medicine provider in Rushville, Illinois, licensed in Ohio (35.095116) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Genesis Medical Center, Aledo, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1689815193
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameATIF RAJACredential: M.D.
Location Address238 S CONGRESS STRushville, IL 62681-1465
Mailing Address1200 Sweet Audrey CtDayton, OH 45458-9704
Phone(217) 322-4321
Fax(217) 322-2546
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 12, 2009
Last NPPES UpdateNovember 24, 20232 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1689815193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35.095116
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036.141990 (IL), 4301095610 (MI)
238 S CONGRESS ST, Rushville, IL 62681
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Secondary Practice Location 1

Location 14100 W 3rd StDayton, OH 45428-9000 · Phone (937) 268-6511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

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

Atif Raja 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 ID4981882255
PECOS Enrollment IDI20230914002058
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

6

Medicare enrollment records show Atif Raja reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Schuyler County Hospital District
0.3 mi
Critical Access
238 S CONGRESS ST
Rushville, IL 62681
  • Reassigned Medicare billing, Illinois enrollment
  • 72 clinicians in this Medicare group
NPI 1013969112 (217) 322-4321
Mason Hospital District
29 mi
Rural Health
615 N PROMENADE ST
Havana, IL 62644
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1902849649 (Illinois)
  • 56 clinicians in this Medicare group
NPI 1063478782 (309) 543-6600
Hopedale Medical Foundation
64 mi
Critical Access
107 TREMONT
Hopedale, IL 61747
  • Reassigned Medicare billing, Illinois enrollment
  • 14 clinicians in this Medicare group
NPI 1174569438 (309) 449-3321
Genesis Medical Center, Aledo
76 mi
Critical Access
409 NW 9TH AVE
Aledo, IL 61231
  • Reassigned Medicare billing, Illinois enrollment
  • 24 clinicians in this Medicare group
NPI 1225380967 (309) 582-9100
Emergency Professional Services, Inc.
382 mi
Emergency Medicine
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 894 clinicians in this Medicare group
NPI 1093762353 (937) 386-3400
Kings Daughters Medical Specialties Inc
416 mi
Urgent Care
1901 ARGONNE ROAD
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group
NPI 1275871907 (740) 991-0911

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

Hospital Affiliations CMS Care Compare 3

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

Genesis Medical Center, Aledo

Critical Access Hospitals · Aledo, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141304
Location409 NW 9th AvenueAledo, IL 61231 · Mercer County
Emergency services

Mason District Hospital

Critical Access Hospitals · Havana, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141313
Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County
Emergency services

Sarah D Culbertson Memorial Hospital

Critical Access Hospitals · Rushville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141333
Location238 South Congress StreetRushville, IL 62681 · Schuyler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62681 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 14

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

SCHUYLER COUNTY HOSPITAL DISTRICT
General Acute Care Hospital (Critical Access)
238 S CONGRESS ST
RUSHVILLE, IL 62681
Schuyler County (217) 322-4321
SCHUYLER COUNTY HOSPITAL DISTRICT
Pharmacy (Long Term Care Pharmacy)
238 S CONGRESS ST
RUSHVILLE, IL 62681
Schuyler County (217) 322-4321
CATHERINE J WILSON MSPT
Physical Therapist
238 S CONGRESS ST
RUSHVILLE, IL 62681
Schuyler County (217) 322-4321
LORI ANN THOMAS OTR/L, CLT-LANA
Occupational Therapist
238 S CONGRESS ST
RUSHVILLE, IL 62681
Schuyler County (217) 322-4321
SCHUYLER COUNTY HOSPITAL DISTRICT
Medicare Defined Swing Bed Unit
238 S CONGRESS ST
RUSHVILLE, IL 62681
Schuyler County (217) 322-4321
HEIDI MARIE GREER APRN
Nurse Practitioner (Family)
238 S CONGRESS ST
RUSHVILLE, IL 62681
Schuyler County (217) 322-4321
DR. JEREMY BARNETT M.D.
Internal Medicine (Critical Care Medicine)
238 S CONGRESS ST
RUSHVILLE, IL 62681
Schuyler County (217) 322-4321
FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC
Durable Medical Equipment & Medical Supplies
238 S CONGRESS ST
RUSHVILLE, IL 62681
Schuyler County (217) 243-1101

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 Atif Raja's NPI number?

The NPI number for Atif Raja is 1689815193. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Where is Atif Raja located?

Atif Raja practices at 238 S Congress St, Rushville, IL 62681. The listed phone number is (217) 322-4321.

What is Atif Raja's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Atif Raja enrolled in Medicare?

Yes. Atif Raja 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 organizations bill Medicare for Atif Raja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atif Raja reassigns Medicare benefits to 6 organizations: Schuyler County Hospital District (Rushville, IL), Mason Hospital District (Havana, IL), Hopedale Medical Foundation (Hopedale, IL), Genesis Medical Center, Aledo (Aledo, IL), Emergency Professional Services, Inc. (Seaman, OH) and 1 more organization, listed in the Medicare section above. 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 Atif Raja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Atif Raja accept?

Health plans from CareSource and Molina Healthcare list Atif Raja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Atif Raja affiliated with any hospitals?

According to CMS data, Atif Raja is affiliated with Genesis Medical Center, Aledo, Mason District Hospital and Sarah D Culbertson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Atif Raja was last updated on November 24, 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.