DR. RANEEM RAJJOUB – Ophthalmology Physician, NPI 1205363710

DR. RANEEM RAJJOUB is a healthcare provider. based in Stickney, Illinois. specializing in OPHTHALMOLOGY. They hold a License No. 036.166093 (IL). The NPI Number for DR. RANEEM RAJJOUB is 1205363710

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANEEM RAJJOUB
NPI
1205363710
Phone
(708) 788-3400
Address
4401 S Harlem Ave
Enumeration Date
15 May 2017
Last Update Date
16 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087883400
Graduation Year
2017 (9 years ago)
PAC ID
2668719600
Group Practice PAC ID
4385659069
Professional Enrollment ID
I20231027003457
Address ID
IL604024250ST4401XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

Provider Addresses for DR. RANEEM RAJJOUB

  • 4401 S Harlem Ave

    Stickney, IL 604024250

    Phone: (708) 788-3400

    Type: Location

  • 1700 E West Rd

    Calumet City, IL 604095431

    Phone: (708) 891-3330

    Type: Location

  • 1630 GATEWAY DR STE 300

    SYCAMORE, IL 601783182

    Phone: (800) 243-2587

    Type: Location

  • 720 WASHINGTON AVE SE

    STE 300

    MINNEAPOLIS, MN 554142904

    Phone: (410) 225-8790

    Type: Mailing

  • 909 FULTON ST SE

    MINNEAPOLIS, MN 554554800

    Phone: (612) 672-7422

    Type: Location

  • UM Medical Center Midtown Campus (UMMC), 827, Linden Avenue, Mount Vernon, Baltimore, Maryland, 21201, United States

    BALTIMORE, MD 212014606

    Phone: (410) 225-8790

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $296.

Total Amount is formed as General ($296) + Research ($0) + Ownership ($0) = $296.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Harrow Eye, LLC ($163).

Total Amount

$296

General + Research + Ownership

Payments

7

Total payment records

General Amount

$296

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Harrow Eye, LLC$163
Amgen Inc.$133
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: 2023-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210615000024IOphthalmologyMNTBD
I20231027003457IOphthalmologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60402)

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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: 4385659069View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YNJ
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

Can I verify DR. RANEEM RAJJOUB with an NPI only?
You can start verification with NPI 1205363710 for DR. RANEEM RAJJOUB, then check state licensing separately.
Does CMS list DR. RANEEM RAJJOUB as active?
Yes — DR. RANEEM RAJJOUB is active in the NPI listing used on this page.
What is DR. RANEEM RAJJOUB best known for clinically?
Directory data describes DR. RANEEM RAJJOUB with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RANEEM RAJJOUB?
DR. RANEEM RAJJOUB's geographic hint is Stickney, Illinois in our summary view.
Is the information about DR. RANEEM RAJJOUB up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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