Look up the most recent NPI and PECOS records

Ravi Rajpoot

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Ravi Rajpoot is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1255750410
Provider Type
Individual
Full Name
Rajpoot, Ravi
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/15/2014
Last Updated
5/12/2025

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Mailing Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 036154512 Illinois
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License A141752 California

Ravi Rajpoot

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Patel, Himanshu Bharat

Ogbogu, Quincy

Mirgati, Sidney

Talla, Shravika

Lomasney, Laurie

Demos, Terrence

Pasquale, David D

Thapa, Nihal

Smith, Melissa Pawley

Ivanova, Milena