MEDA RAGHAVENDRA (MD) – Interventional Pain Medicine Physician, NPI 1629048962

Interventional Pain Medicine Physician

MEDA RAGHAVENDRA (MD) is a healthcare provider. based in Maywood, Illinois. specializing in Interventional Pain Medicine Physician. They hold the professional credentials MD. They hold a License No. 36092881 (IL). The NPI Number for MEDA RAGHAVENDRA (MD) is 1629048962

Main info

Male

37 Years Of Experience

Accepts Medicare Assignment

Name

MEDA RAGHAVENDRA (MD)

NPI

1629048962

Phone

(708) 216-6462

Address

2160 S FIRST AVE

Enumeration Date

26 January 2006

Last Update Date

4 March 2010

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7082168372

Graduation Year

1989 (37 years ago)

PAC ID

6305873175

Group Practice PAC ID

3779488903

Professional Enrollment ID

I20050722000818

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MEDA RAGHAVENDRA (MD)

2160 S FIRST AVE
(15750 MARIAN DR., HOMER GLEN, IL. 60526)
MAYWOOD, IL 60153
Phone: (708) 216-6462
Fax: (708) 216-1249
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.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 60153)

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Provider's Procedures

MEDA RAGHAVENDRA (MD) performs procedures in Interventional Pain Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENT	IL	20610	Aspiration and/or injection of large joint or joint capsule	20	16
INTERVENTIONAL PAIN MANAGEMENT	IL	62311	Injections of substances into lower or sacral spine	47	41

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: 3779488903View full group profile

Name	Specialty	State
GEETA BOLLAM (MD)	-	IL
SUSANNE TIDOW-KEBRITCHI (MD)	-	IL
MICHAEL JOEL SCHNECK (MD)	N E U R O L O G Y	IL
DR. DEEPTI SHIVAKUMAR (MD)	Family Practice	IL
DR. DENNIS ALAN PEACOCK (MD)	Internal Medicine, Pediatric Medicine	IL
ASHRAF ABDELJABER (M.D)	Hospitalist, Family Practice	TX
DR. WALTER J WOJCIK (M.D,,PH.D.)	-	IL
MICHAEL CLARK (MD)	-	IL
WICKII VIGNESWARAN (MD)	-	IL
MS. NANCY L PORTER (APN)	-	IL

Reviews

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Frequently asked questions

Does MEDA RAGHAVENDRA (MD) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — MEDA RAGHAVENDRA (MD) uses 1629048962.

Does the file indicate MEDA RAGHAVENDRA (MD) is practicing under active NPI?

Directory data currently reports MEDA RAGHAVENDRA (MD) as active.

What taxonomy line describes MEDA RAGHAVENDRA (MD)?

For research purposes, treat MEDA RAGHAVENDRA (MD) as Interventional Pain Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where is MEDA RAGHAVENDRA (MD) based?

MEDA RAGHAVENDRA (MD) is tied to Maywood, Illinois in the data we show; additional addresses may exist on the full record.

Why does MEDA RAGHAVENDRA (MD) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.