JOHN RAJU – Family Nurse Practitioner, NPI 1013621283

JOHN RAJU is a healthcare provider. based in Tinley park, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209026695 (IL). The NPI Number for JOHN RAJU is 1013621283

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JOHN RAJU
NPI
1013621283
Phone
(708) 781-3500
Address
7460 170TH PL
Enumeration Date
11 January 2023
Last Update Date
11 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086914890
Graduation Year
2022 (4 years ago)
PAC ID
5496128803
Group Practice PAC ID
3476082850
Professional Enrollment ID
I20230306002874
Address ID
IL604488374MO9019XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for JOHN RAJU

  • 7460 170TH PL

    TINLEY PARK, IL 604774760

    Phone: (708) 781-3500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Reprise Biomedical, Inc. ($148).

Total Amount

$148

General + Research + Ownership

Payments

1

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Reprise Biomedical, Inc.$148
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230306002874INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes28890$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes20662$0
99497Advance care planning, first 30 minutes9630$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi7144$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 60477)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476082850View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Is there an official ID for JOHN RAJU in U.S. healthcare records?
The official identifier for JOHN RAJU is NPI 1013621283.
Is JOHN RAJU shown as active in public data?
Registry records indicate JOHN RAJU maintains an active NPI.
What area of care is associated with JOHN RAJU?
JOHN RAJU's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Illinois is JOHN RAJU registered?
Use Tinley Park, Illinois as the headline location for JOHN RAJU here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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