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ELLIL OVIYA KRISHNARAJU
NPI 1720654858
Internal Medicine - Endocrinology, Diabetes & Metabolism in Maywood, IL

Active since May 30, 2021PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ellil Oviya Krishnaraju NPPES

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

ELLIL OVIYA KRISHNARAJU (NPI 1720654858) is an individual endocrinology, diabetes & metabolism provider in Maywood, Illinois, licensed in Illinois (036168180) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720654858
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameELLIL OVIYA KRISHNARAJU
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Phone(888) 584-7888
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 30, 2021
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1720654858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in IL · 036168180
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125078579 (IL)
2160 S 1ST AVE, Maywood, IL 60153
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellil Oviya Krishnaraju is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476957515
PECOS Enrollment IDI20260722001698
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 Ellil Krishnaraju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maimonides Faculty Practice Plan
725 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700

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 60153 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.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

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 Ellil Krishnaraju's NPI number?

The NPI number for Ellil Krishnaraju is 1720654858. It was assigned to this individual provider in the NPPES registry on May 30, 2021.

Where is Ellil Krishnaraju located?

Ellil Krishnaraju practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (888) 584-7888.

What is Ellil Krishnaraju's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ellil Krishnaraju enrolled in Medicare?

Yes. Ellil Krishnaraju is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellil Krishnaraju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellil Krishnaraju reassigns Medicare benefits to Maimonides Faculty Practice Plan (Brooklyn, NY). 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 Ellil Krishnaraju'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 Ellil Krishnaraju was last updated on May 28, 2024. 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.