DR. RAJAT PRAKASH (MD) – Internal Medicine Physician, NPI 1700872041

DR. RAJAT PRAKASH (MD) is a healthcare provider. based in Burr ridge, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01092811A (IN). The NPI Number for DR. RAJAT PRAKASH (MD) is 1700872041

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAJAT PRAKASH (MD)
NPI
1700872041
Phone
(888) 220-6432
Address
901 MCCLINTOCK DRIVE
Enumeration Date
22 September 2005
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2194649800
Graduation Year
1988 (38 years ago)
PAC ID
2769375609
Group Practice PAC ID
1557363157
Professional Enrollment ID
I20241114003936
Address ID
IN463837121VA2701XAXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,511 INTERNAL MEDICINE in IN

Provider Addresses for DR. RAJAT PRAKASH (MD)

  • McClintock Drive, Burr Ridge, Lyons Township, Cook County, Illinois, 60480, United States

    SUITE 202

    BURR RIDGE, IL 605270844

    Phone: (888) 220-6432

    Fax: (633) 654-4253

    Type: Mailing

  • 2701 LEONARD DR STE B

    VALPARAISO, IN 463837121

    Phone: (219) 464-9800

    Fax: (219) 464-9877

    Type: Location

  • 226 INDIAN TRAIL RD

    OAK BROOK, IL 605232796

    Phone: (219) 424-1488

    Fax: (219) 464-9877

    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: 2024-11-14

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
I20241114003936IInternal MedicineINTBD

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 60527)

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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: 1557363157View full group profile
NameSpecialtyState
Nurse PractitionerIN
P O D I A T R YOH
-IN
Internal MedicineIN

Reviews

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Frequently asked questions

How do I look up DR. RAJAT PRAKASH (MD) by NPI?
Use NPI 1700872041 when you need to reference DR. RAJAT PRAKASH (MD) in forms, claims, or directories.
Is DR. RAJAT PRAKASH (MD) currently active in the NPI registry?
CMS-published data lists DR. RAJAT PRAKASH (MD) as an active registrant.
Can you summarize DR. RAJAT PRAKASH (MD)'s specialty in plain language?
Clinically, the directory lists DR. RAJAT PRAKASH (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. RAJAT PRAKASH (MD)?
We surface Burr Ridge, Illinois for DR. RAJAT PRAKASH (MD) 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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