Dr Raj K Sinha, MD - Medicare Plastic And Reconstructive Surgery in Springfield, IL

Dr Raj K Sinha, MD is a medicare enrolled "Plastic Surgery" physician in Springfield, Illinois. He went to Medical College Of Wisconsin and graduated in 1996 and has 28 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Springfield Clinic Llp and his current practice location is 2901 Greenbriar Dr, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 528-7541.

Dr Raj K Sinha is licensed to practice in Illinois (license number 036-105983) 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 1134229826.

Contact Information

Dr Raj K Sinha, MD
2901 Greenbriar Dr,
Springfield, IL 62704-6425
(217) 528-7541
Not Available

Map and Direction




Physician's Profile

Full NameDr Raj K Sinha
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience28 Years
Location2901 Greenbriar Dr, Springfield, Illinois
Accepts Medicare AssignmentsYes. 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 Raj K Sinha attended and graduated from Medical College Of Wisconsin in 1996
  NPI Data:
  • NPI Number: 1134229826
  • Provider Enumeration Date: 09/23/2006
  • Last Update Date: 05/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1951359090
  • Enrollment ID: I20050105000993

Medical Identifiers

Medical identifiers for Dr Raj K Sinha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134229826NPI-NPPES
036105983MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 036-105983 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jordan Health Services, A Part Of The Elara CaringRound rock, TXHome health agency
Taylorville Memorial HospitalTaylorville, ILHospital
Memorial Medical CenterSpringfield, ILHospital
St Johns HospitalSpringfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Clinic Llp0547166076669

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 Raj K Sinha allows following entities to bill medicare on his behalf.
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826

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 Raj K Sinha 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 Raj K Sinha, MD
1025 S 6th St,
Springfield, IL 62703-2403

Ph: (217) 528-7541
Dr Raj K Sinha, MD
2901 Greenbriar Dr,
Springfield, IL 62704-6425

Ph: (217) 528-7541

Reviews and Comments


Plastic Surgery Doctors in Springfield, IL

Dr. Katie Mcglone, MD
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Practice Location: 747 N Rutledge St, Springfield, IL 62702
Phone: 217-545-6112    
Michael Romanelli, MD
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Michael W Neumeister, M.D.
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Practice Location: 747 N Rutledge St, Springfield, IL 62702
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Jessie Laina Koljonen, MD
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Practice Location: 747 N Rutledge St, Springfield, IL 62702
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Lauren Woldanski, MD
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Medicare: Medicare Enrolled
Practice Location: 747 N Rutledge St, Springfield, IL 62702
Phone: 217-545-6112    Fax: 217-545-2588
Lauren Catterall, MD, MPH
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 747 N Rutledge St, Springfield, IL 62702
Phone: 217-545-6112    Fax: 217-545-2588

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.