Dr Nilin Raj, MD - Medicare Nephrology in Baldwin, WI

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Dr Nilin Raj, MD is a medicare enrolled "Internal Medicine" physician in Baldwin, Wisconsin. She graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Baldwin Area Medical Center Inc, Ladd Memorial Hospital and her current practice location is 1100 Bergslien St, Baldwin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 684-1111.

Dr Nilin Raj is licensed to practice in Illinois (license number 125.064025) 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 1245666528.

Contact Information

Dr Nilin Raj, MD
1100 Bergslien St,
Baldwin, WI 54002-2600
(715) 684-1111
(715) 684-1119

Map and Direction




Physician's Profile

Full NameDr Nilin Raj
GenderFemale
SpecialityNephrology
Experience18 Years
Location1100 Bergslien St, Baldwin, Wisconsin
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:
  • Dr Nilin Raj graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1245666528
  • Provider Enumeration Date: 09/18/2013
  • Last Update Date: 08/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3072804129
  • Enrollment ID: I20190611003630

Medical Identifiers

Medical identifiers for Dr Nilin Raj such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245666528NPI-NPPES
1245666528MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 125.064025 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Western Wisconsin HealthBaldwin, WIHospital
Ladd Memorial HospitalOsceola, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baldwin Area Medical Center Inc791180058676
Ladd Memorial Hospital993109284859

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. Dr Nilin Raj allows following entities to bill medicare on her behalf.
Entity NameLadd Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467560227
PECOS PAC ID: 9931092848
Enrollment ID: O20040204000998
Entity NameBaldwin Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467496133
PECOS PAC ID: 7911800586
Enrollment ID: O20040310000505

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. Dr Nilin Raj 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
Dr Nilin Raj, MD
1100 Bergslien St,
Baldwin, WI 54002-2600

Ph: (715) 684-1101		Dr Nilin Raj, MD
1100 Bergslien St,
Baldwin, WI 54002-2600

Ph: (715) 684-1111

Reviews and Comments


Internal Medicine Doctors in Baldwin, WI

Kheng Joe Lau, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Bergslien St, Baldwin, WI 54002
Phone: 715-684-1111    Fax: 715-684-1119
Dr. Faisal Anwar, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Bergslien St, Baldwin, WI 54002
Phone: 715-684-1111    Fax: 715-684-1119
Dr. Chukwunonso Udoka Chime, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Bergslien St, Baldwin, WI 54002
Phone: 715-684-1111    Fax: 715-684-1119

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.