PRABHA RAJAN (MD) – Anatomic Pathology Physician, NPI 1205815305
Anatomic Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
766 PATHOLOGY in IL
Provider Addresses for PRABHA RAJAN (MD)
2160 S FIRST AVE
(EMS BLDG., RM. 2209)
MAYWOOD, IL 60153
Phone: (708) 216-3250
Fax: (708) 216-2620
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)
No Open Payments data available for this provider.
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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: 2023-08-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230824000777 | I | Pathology | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 38 | 13 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 22 | 11 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 17 | 14 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Internal Medicine | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | TX | |
| Physical Therapist In Private Practice | NY | |
| A N E S T H E S I O L O G Y | NY | |
| - | NY | |
| - | NY | |
| - | NY |
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