RODWAN K RAJJOUB (M.D.) – Neurological Surgery Physician, NPI 1528033651
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
464 NEUROSURGERY in PA
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Provider Addresses for RODWAN K RAJJOUB (M.D.)
1201, Grampian Boulevard, Williamsport, Lycoming County, Pennsylvania, 17701, United States
WILLIAMSPORT, PA 177011900
Phone:
Type: Mailing
904, Campbell Street, Vallamont Hills, Williamsport, Lycoming County, Pennsylvania, 17701, United States
SUITE 104
WILLIAMSPORT, PA 177013154
Phone: (570) 326-2035
Fax: (570) 326-9220
Type: Location
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone:
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (888) 824-0200
Type: Location
904 Campbell St
Suite 104
Williamsport, PA 177013154
Phone: (570) 326-2035
Fax: (570) 326-9220
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $166.
Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.
Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Orthofix Medical, Inc. ($166).
Total Amount
$166
General + Research + Ownership
Payments
1
Total payment records
General Amount
$166
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $166 |
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: 2024-09-23
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 |
|---|---|---|---|---|
| I20240923002492 | I | Neurosurgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17701)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Internal Medicine, Sleep Medicine | IL | |
| Orthopedic Surgery | IL | |
| A N E S T H E S I O L O G Y | MI | |
| Diagnostic Radiology | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Diagnostic Radiology | IL | |
| Orthopedic Surgery | IL | |
| Hospitalist, Internal Medicine | IL | |
| Nurse Practitioner | IL |
Reviews
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