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DR. BHARAT NEELAM RAJU MD
NPI 1942736053
Internal Medicine in Decatur, IL

Active since May 10, 2017PECOS EnrolledAccepts Medicare Assignment
67.18/100
CMS Quality Rating
2300 N EDWARD ST, DECATUR, IL 62526(217) 876-8121 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2017, May 10, 2017 (2 updates tracked since 2017).

About Dr. Bharat Neelam Raju Md NPPES

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

DR. BHARAT NEELAM RAJU MD (NPI 1942736053) is an individual internal medicine provider in Decatur, Illinois, licensed in Illinois (036162835) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1942736053
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BHARAT NEELAM RAJUCredential: MD
Location Address2300 N EDWARD STDecatur, IL 62526-4192
Mailing Address2300 N Edward StDecatur, IL 62526-4192 · (217) 876-8121
Phone(217) 876-8121
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 10, 2017
Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1942736053 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 · 036162835
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 036162835 (IL)
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 036162835 (IL)
2300 N EDWARD ST, Decatur, IL 62526
Open in Google Maps ↗

Secondary Practice Location 1

Location 11600 W Walnut StJacksonville, IL 62650-1136 · Phone (217) 245-9541

Other Identifiers 1

Other036162835IL · Md License

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

Dr. Bharat Neelam Raju 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 ID6103199427
PECOS Enrollment IDI20230816001882
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

3

Medicare enrollment records show Bharat Neelam Raju reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Decatur Memorial Hospital
Same address
General Acute Care Hospital
2300 N EDWARD ST, GSBLL
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1164477725 (217) 876-2868
Cep America Illinois Intensivists
3.2 mi
Critical Care Medicine
1800 E LAKE SHORE DR
Decatur, IL 62521
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1568239036 (217) 464-2966
Passavant Memorial Area Hospital Association
70 mi
Critical Access
1600 W WALNUT ST
Jacksonville, IL 62650
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1235864810 (Illinois)
  • 39 clinicians in this Medicare group
NPI 1174580831 (217) 245-9541

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

Areas of Expertise CMS Part B claims 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
191 services116 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
40 services27 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.
17 services17 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

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.

CULLEN WHICKER CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2575
MR. JASON GRAUER APRN
Nurse Practitioner (Family)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121
DR. JEFFREY MARC BOORSTEIN MD
Radiology (Diagnostic Radiology)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2300
PAUL GURLEY PA-C
Physician Assistant
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-3000
CHRISTINE W CUTLER MS RD LD/N
Dietitian, Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2281
JACLYN NICOLE KLEMAN
Physical Therapist
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2600
BRITTNEY L JEFFERY CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2275
DR. DAVID JOSEPH EVELTI MD
Anesthesiology
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121

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 Bharat Neelam Raju's NPI number?

The NPI number for Bharat Neelam Raju is 1942736053. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is Bharat Neelam Raju located?

Bharat Neelam Raju practices at 2300 N Edward St, Decatur, IL 62526. The listed phone number is (217) 876-8121.

What is Bharat Neelam Raju's specialty?

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

Is Bharat Neelam Raju enrolled in Medicare?

Yes. Bharat Neelam Raju 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 Bharat Neelam Raju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bharat Neelam Raju reassigns Medicare benefits to 3 organizations: Decatur Memorial Hospital (Decatur, IL), Cep America Illinois Intensivists (Decatur, IL) and Passavant Memorial Area Hospital Association (Jacksonville, IL). 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 Bharat Neelam Raju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Bharat Neelam Raju affiliated with any hospitals?

According to CMS data, Bharat Neelam Raju is affiliated with St Johns Hospital, Decatur Memorial Hospital, Memorial Medical Center, Taylorville Memorial Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bharat Neelam Raju was last updated on November 28, 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.