RAJ D PATEL (M.D.) – Cardiovascular Disease Physician, NPI 1104245406

RAJ D PATEL (M.D.) is a healthcare provider. based in Peoria, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. XX01248494 (IL). The NPI Number for RAJ D PATEL (M.D.) is 1104245406

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
RAJ D PATEL (M.D.)
NPI
1104245406
Phone
(309) 655-2000
Address
530 NE Glen Oak Ave
Enumeration Date
15 April 2014
Last Update Date
7 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4144270008
Graduation Year
2014 (12 years ago)
PAC ID
6901170406
Group Practice PAC ID
8628980943
Professional Enrollment ID
I20210608000363
Address ID
WI531328281FR7400XAVEX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for RAJ D PATEL (M.D.)

  • 530 NE Glen Oak Ave

    Peoria, IL 616374501

    Phone: (309) 655-2000

    Type: Location

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616374501

    Phone: (309) 655-2000

    Type: Location

  • 1918 GLENBRIDGE RD

    BLOOMINGTON, IL 617048708

    Phone: (337) 842-8492

    Type: Mailing

  • 2025 W OKLAHOMA AVE

    MILWAUKEE, WI 532154455

    Phone: (414) 389-2797

    Type: Location

  • 2359 Shelley Ct

    Shelby Township, MI 483174501

    Phone: (337) 842-8492

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $440.

Total Amount is formed as General ($440) + Research ($0) + Ownership ($0) = $440.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Teleflex LLC ($141).

Total Amount

$440

General + Research + Ownership

Payments

9

Total payment records

General Amount

$440

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-06-08

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
I20210608000363ICardiovascular Disease (Cardiology)WITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10457$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function9292$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8553$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes6156$0
93458Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist4746$0
View full utilization report →

Insurance plans in this area (ZIP 61637)

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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: 8628980943View full group profile
NameSpecialtyState
-WI
Mental Health CounselorWI
-WI
Internal MedicineWI
Hospitalist, Internal MedicineWI
U R O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YWI
-OH
-WI
-WI

Reviews

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Frequently asked questions

How do I look up RAJ D PATEL (M.D.) by NPI?
Use NPI 1104245406 when you need to reference RAJ D PATEL (M.D.) in forms, claims, or directories.
Is RAJ D PATEL (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does RAJ D PATEL (M.D.) treat or focus on?
Patients typically see RAJ D PATEL (M.D.) under the specialty Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What location shows for RAJ D PATEL (M.D.)?
We surface Peoria, Illinois for RAJ D PATEL (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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