DR. MANISH TUSHAR RAIJI (M.D.) – Pediatric Surgery Physician, NPI 1437310455
Pediatric Surgery Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MANISH TUSHAR RAIJI (M.D.)
5841 S MARYLAND AVE MC 4062
THE UNIVERSITY OF CHICAGO DIVISION OF PEDIATRIC SURGERY
CHICAGO, IL 60637
Phone: (773) 703-6175
Type: Location
Au Bon Pain, 5841, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States
THE UNIVERSITY OF CHICAGO DIVISION OF PEDIATRIC SURGERY
CHICAGO, IL 60637
Phone: (773) 703-6175
Type: Mailing
5841 S Maryland Ave MC 4062
The University of Chicago Division of Pediatric Surgery
Chicago, IL 60637
Phone: (773) 703-6175
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
4440 W 95TH ST STE 1332H
OAK LAWN, IL 604532600
Phone: (708) 684-5437
Fax: (708) 684-4808
Type: Location
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: 2017-09-13
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 |
|---|---|---|---|---|
| I20170913001822 | I | General Surgery | 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 60637)
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