Raji Jacob, MD - Medicare Nephrology in Peoria, IL

Raji Jacob, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Peoria, Illinois. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Osf Multi-specialty Group, Renalcare Associates, S.c. and her current practice location is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 676-8123.

Raji Jacob is licensed to practice in Illinois (license number 036134553) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538325477.

Contact Information

Raji Jacob, MD
420 Ne Glen Oak Ave Ste 401,
Peoria, IL 61603-3168
(309) 676-8123
(309) 676-8455



Physician's Profile

Full NameRaji Jacob
GenderFemale
SpecialityNephrology
Experience23 Years
Location420 Ne Glen Oak Ave Ste 401, Peoria, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Raji Jacob graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1538325477
  • Provider Enumeration Date: 07/30/2008
  • Last Update Date: 11/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3678606258
  • Enrollment ID: I20140318000805

Medical Identifiers

Medical identifiers for Raji Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538325477NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 036134553 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmc - Peoria NorthPeoria, ILDialysis facility
Fmc - Central Illinois PekinPekin, ILDialysis facility
Davita - Tazewell County DialysisPekin, ILDialysis facility
Saint Francis Medical CenterPeoria, ILHospital
Methodist Medical Center Of IllinoisPeoria, ILHospital
Pekin Memorial HospitalPekin, ILHospital
Proctor HospitalPeoria, ILHospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl CtrOttawa, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891543
Renalcare Associates, S.c.701281834746

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Raji Jacob allows following entities to bill medicare on her behalf.
Entity NameRenalcare Associates, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649300377
PECOS PAC ID: 7012818347
Enrollment ID: O20040119000524

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Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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› Verified 5 days ago

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raji Jacob is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Raji Jacob, MD
420 Ne Glen Oak Ave, Ste 401,
Peoria, IL 61603-3168

Ph: (309) 676-8123
Raji Jacob, MD
420 Ne Glen Oak Ave Ste 401,
Peoria, IL 61603-3168

Ph: (309) 676-8123

News Archive

Cardiome signs agreement with Algorithm to sell, distribute BRINAVESS

Cardiome Pharma Corp. today announced that its subsidiary, Cardiome International AG, has entered into an agreement with Algorithm S.A.L., headquartered in Beirut, Lebanon, to sell and distribute BRINAVESS (vernakalant intravenous) exclusively in certain Middle Eastern and North African countries.

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Internal Medicine Doctors in Peoria, IL

Sandeep Banga, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-6384    Fax: 309-655-7732
Riaz Shah, MD
Nephrology
Medicare: May Accept Medicare Assignments
Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636
Phone: 309-672-5729    
Dr. James Daniel Dewar, D.O.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-7257    
Waqas Ali, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-5522    
Dr. Sudhir Mungee, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614
Phone: 309-691-4410    Fax: 309-589-2830
Dr. Nikesh Kavi Patel, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-6384    Fax: 309-655-7732
Dr. Bhanu T Paturi, M.D
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614
Phone: 309-683-8383    

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