Dr Rahul Deepankar, MD is a medicare enrolled "Internal Medicine" physician in Bradley, Illinois. He graduated from medical school in 1975 and has 51 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prime Healthcare Illinois Medical Group Llc and his current practice location is
400 S Kennedy Dr Ste 700, Bradley, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 935-7532.
Dr Rahul Deepankar is licensed to practice in Illinois (license number 036065906) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376503045.
Physician's Profile
| Full Name | Dr Rahul Deepankar |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 51 Years |
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| Location | 400 S Kennedy Dr Ste 700, Bradley, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Rahul Deepankar graduated from medical school in 1975
NPI Data:
- NPI Number: 1376503045
- Provider Enumeration Date: 03/25/2006
- Last Update Date: 08/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406760271
- Enrollment ID: I20070501000154
Medical Identifiers
Medical identifiers for Dr Rahul Deepankar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376503045 | NPI | - | NPPES |
| 0360659061 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 036065906 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Prime Healthcare Illinois Medical Group Llc | 5597275685 | 278 |
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 Rahul Deepankar allows following entities to bill medicare on his behalf.
| Entity Name | Prime Healthcare Illinois Medical Group LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023837689 PECOS PAC ID: 5597275685 Enrollment ID: O20250609000646 |
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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 Rahul Deepankar 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 Address | Practice Location Address |
Dr Rahul Deepankar, MD 400 S Kennedy Dr Ste 700, Bradley, IL 60915-2639 Ph: (815) 935-7532 | Dr Rahul Deepankar, MD 400 S Kennedy Dr Ste 700, Bradley, IL 60915-2639 Ph: (815) 935-7532 |
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