RAJYALAKSHMI GANNU MD
NPI 1770600769
Internal Medicine in North Chicago, IL

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064(224) 610-3871 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Rajyalakshmi Gannu Md NPPES

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

RAJYALAKSHMI GANNU MD (NPI 1770600769) is an individual internal medicine provider in North Chicago, Illinois, licensed in Illinois (036136665) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Vista Medical Center East, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1770600769
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRAJYALAKSHMI GANNUCredential: MD
Location Address3001 GREEN BAY RDNorth Chicago, IL 60064-3048
Mailing Address3001 Green Bay RdNorth Chicago, IL 60064-3048 · (973) 748-8505
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 23, 2007
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1770600769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036136665✔ Licensed in PA · MT188193✔ Licensed in NJ · 25MA08621900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3001 GREEN BAY RD, North Chicago, IL 60064

Other Identifiers 1

Medicaid0255629NJ

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

Rajyalakshmi Gannu Md 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 ID8628253754
PECOS Enrollment IDI20150515001651
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.

Hospital Affiliations CMS Care Compare 2

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

Vista Medical Center East

Acute Care Hospitals · Waukegan, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140084
Location1324 North Sheridan RoadWaukegan, IL 60085 · Lake County
Emergency services Birthing friendly

Mercyhealth Hospital & Physician Clinic-Crystal La

Acute Care Hospitals · Crystal Lake, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140308
Location875 S Route 31Crystal Lake, IL 60014 · Mc Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60064 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Anesthesiology (Critical Care Medicine)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Physician Assistant
3001 GREEN BAY RD, CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY
NORTH CHICAGO, IL 60064
Internal Medicine
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Registered Nurse
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Psychiatry & Neurology (Neurology)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Social Worker (Clinical)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064

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 Rajyalakshmi Gannu's NPI number?

The NPI number for Rajyalakshmi Gannu is 1770600769. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Rajyalakshmi Gannu located?

Rajyalakshmi Gannu practices at 3001 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (224) 610-3871.

What is Rajyalakshmi Gannu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rajyalakshmi Gannu enrolled in Medicare?

Yes. Rajyalakshmi Gannu 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.

Is Rajyalakshmi Gannu affiliated with any hospitals?

According to CMS data, Rajyalakshmi Gannu is affiliated with Vista Medical Center East and Mercyhealth Hospital & Physician Clinic-Crystal La.

When was this NPI record last updated?

The NPPES record for Rajyalakshmi Gannu was last updated on February 26, 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.