DR. PRADEEP N RAJU (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1568723211
Sports Medicine (Family Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
Provider Addresses for DR. PRADEEP N RAJU (M.D.)
PO BOX 735263
CHICAGO, IL 606735263
Phone:
Type: Mailing
4119 W SHAMROCK LN
MCHENRY, IL 600508268
Phone: (815) 398-9491
Fax: (815) 381-7498
Type: Location
BOX 78534
MILWAUKEE, WI 53278
Phone: (815) 398-9491
Fax: (815) 381-7498
Type: Mailing
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-06-27
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 |
|---|---|---|---|---|
| I20160627001056 | I | Family Practice | IL | 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 |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 6,445 | 275 | $0 |
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 1,200 | 14 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 873 | 100 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 800 | 568 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 555 | 439 | $0 |
Insurance plans in this area (ZIP 60673)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 55 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | WI | |
| Internal Medicine | WI | |
| Physician Assistant | WI | |
| Sports Medicine | IA | |
| Physical Therapist In Private Practice | WI | |
| Radiation Oncology | WI | |
| Physician Assistant | WI | |
| Orthopedic Surgery | IL |
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