RAJI JACOB MD NPI 1538325477

NPI Details

Raji Jacob, MD is a nephrology internal medicine in Peoria, IL with 24 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Raji Jacob, MD NPI is 1538325477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

420 NE GLEN OAK AVE STE 401
PEORIA, IL
ZIP 61603-168
Phone: (309) 676-8123
Fax: (309) 676-8455

The NPI 1538325477 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
• Hemodialysis procedure with physician evaluation (HCPCS:90935)
• Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
• Home dialysis services per month (20 years or older) (HCPCS:90966)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Manual urinalysis test with examination using microscope, automated (HCPCS:81001)

The enumeration date for this NPI number is 7/30/2008 and was last updated on 5/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: