| Dr Subbiah Rajaguru, MD | |
|
1120 N Melvin St, Gibson City, IL 60936-1477 | |
| (217) 784-2273 | |
| Not Available |
| Full Name | Dr Subbiah Rajaguru |
|---|---|
| Gender | Male |
| Speciality | Cardiac Electrophysiology |
| Experience | 37 Years |
| Location | 1120 N Melvin St, Gibson City, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366450678 | NPI | - | NPPES |
| 110120109 | Other | RAILROAD MEDICARE | |
| 036089144 1 | Medicaid | IL | |
| 279500 | Other | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036-089144 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gibson Community Hospital | Gibson city, IL | Hospital |
| Osf Heart Of Mary Medical Center | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Gibson Community Hospital Association | 5092703124 | 109 |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20071116000131 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Subbiah Rajaguru, MD 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4251 | Dr Subbiah Rajaguru, MD 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-2273 |
Neil R Nelson, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 8 Doctors Park, Gibson City, IL 60936 Phone: 217-784-8580 Fax: 217-784-8586 | |
Dr. Omar Geada, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4086 |