SAMER RODWAN RAJJOUB (M.D.) – Surgery Physician, NPI 1891920120

SAMER RODWAN RAJJOUB (M.D.) is a healthcare provider. based in Watseka, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 036.098470 (IL). The NPI Number for SAMER RODWAN RAJJOUB (M.D.) is 1891920120

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
SAMER RODWAN RAJJOUB (M.D.)
NPI
1891920120
Phone
(815) 432-1078
Address
806 E Walnut St
Enumeration Date
15 May 2009
Last Update Date
27 February 2024

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7083821498
Graduation Year
2009 (17 years ago)
PAC ID
2567694664
Group Practice PAC ID
2860894706
Professional Enrollment ID
I20160818002317
Address ID
IL606162315CH2525XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,422 GENERAL SURGERY in IL

Provider Addresses for SAMER RODWAN RAJJOUB (M.D.)

  • 806 E Walnut St

    Watseka, IL 609701583

    Phone: (815) 432-1078

    Fax: (815) 432-1079

    Type: Location

  • 12251 S 80TH AVE STE 204

    PALOS HEIGHTS, IL 604631290

    Phone: (708) 923-4400

    Fax: (708) 923-4421

    Type: Mailing

  • Palos Hospital, 12251, South 80th Avenue, Palos Heights, Palos Township, Cook County, Illinois, 60463, United States

    MED STAFF OFFICE SUITE 1630

    PALOS HEIGHTS, IL 604631256

    Phone: (708) 923-5173

    Fax: (708) 923-5018

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $14,030.

Total Amount is formed as General ($14,030) + Research ($0) + Ownership ($0) = $14,030.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($13,946).

Total Amount

$14,030

General + Research + Ownership

Payments

24

Total payment records

General Amount

$14,030

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-08-18

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
I20160818002317IGeneral SurgeryILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14766$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10459$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7874$0
99204New patient office or other outpatient visit, 45-59 minutes7272$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5651$0
View full utilization report →

Insurance plans in this area (ZIP 60970)

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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: 2860894706View full group profile
NameSpecialtyState
Internal MedicineMI
Internal Medicine, Sleep MedicineIL
Orthopedic SurgeryIL
A N E S T H E S I O L O G YMI
Diagnostic RadiologyIL
O B S T E T R I C S/ G Y N E C O L O G YFL
Diagnostic RadiologyIL
Orthopedic SurgeryIL
Hospitalist, Internal MedicineIL
Nurse PractitionerIL

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Frequently asked questions

What is the registry number for SAMER RODWAN RAJJOUB (M.D.)?
The registry entry for SAMER RODWAN RAJJOUB (M.D.) shows NPI 1891920120.
Does the public listing show SAMER RODWAN RAJJOUB (M.D.) as active?
SAMER RODWAN RAJJOUB (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits SAMER RODWAN RAJJOUB (M.D.)?
NPPES ties SAMER RODWAN RAJJOUB (M.D.) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SAMER RODWAN RAJJOUB (M.D.)?
SAMER RODWAN RAJJOUB (M.D.) shows a connection to Watseka, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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