RENUKA RAJAGOPAL M.D
NPI 1912326471
Internal Medicine in Bloomington, IL

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
1505 EASTLAND DR, BLOOMINGTON, IL 61701(309) 661-2368 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 29, 2026, Jul 15, 2021, Apr 22, 2021 (3 updates tracked since 2021).

About Renuka Rajagopal M.d NPPES

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

RENUKA RAJAGOPAL M.D (NPI 1912326471) is an individual internal medicine provider in Bloomington, Illinois, licensed in Illinois (036180388) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Tuomey Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1912326471
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRENUKA RAJAGOPALCredential: M.D
Location Address1505 EASTLAND DRBloomington, IL 61701-3534
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 14, 2014
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1912326471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036180388
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 85461 (SC), 036180388 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036180388 (IL)
1505 EASTLAND DR, Bloomington, IL 61701

Secondary Practice Locations 3

Location 1203 Lothrop St, UPMC eye centerPittsburgh, PA 15213-2548 · Phone (412) 683-7551
Location 2125 Paterson St # 568New Brunswick, NJ 08901-1962 · Phone (732) 235-8557
Location 3115 N Sumter St Ste 315Sumter, SC 29150-4967 · Phone (803) 774-9787 · Fax (803) 774-9781

Accepted 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

Renuka Rajagopal 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 ID9436552999
PECOS Enrollment IDI20210722000171, I20260605000795
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 20

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
317 services200 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
305 services291 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
292 services285 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
198 services190 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
114 services110 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services92 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers12 claims12 services$781.53 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier20 claims20 services$881.08 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$5.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Critical Care Medicine)
1505 EASTLAND DR, SUITE 320
BLOOMINGTON, IL 61701
Ophthalmology
1505 EASTLAND DR, STE 2200
BLOOMINGTON, IL 61701
Pharmacist
1505 EASTLAND DR
BLOOMINGTON, IL 61701
Obstetrics & Gynecology
1505 EASTLAND DR, #230
BLOOMINGTON, IL 61701
Internal Medicine
1505 EASTLAND DR
BLOOMINGTON, IL 61701
Anesthesiology (Pain Medicine)
1505 EASTLAND DR, SUITE LL 1400
BLOOMINGTON, IL 61701
Nurse Practitioner
1505 EASTLAND DR
BLOOMINGTON, IL 61701
Physician Assistant
1505 EASTLAND DR
BLOOMINGTON, IL 61701

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 Renuka Rajagopal's NPI number?

The NPI number for Renuka Rajagopal is 1912326471. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Renuka Rajagopal located?

Renuka Rajagopal practices at 1505 Eastland Dr, Bloomington, IL 61701. The listed phone number is (309) 661-2368.

What is Renuka Rajagopal's specialty?

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

Is Renuka Rajagopal enrolled in Medicare?

Yes. Renuka Rajagopal 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.

What insurance does Renuka Rajagopal accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Renuka Rajagopal 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 Renuka Rajagopal affiliated with any hospitals?

According to CMS data, Renuka Rajagopal is affiliated with Prisma Health Tuomey Hospital.

When was this NPI record last updated?

The NPPES record for Renuka Rajagopal was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.