| Raj Jeevan, MD | |
|
1625 N 4th St, Terre Haute, IN 47804-4067 | |
| (812) 232-8716 | |
| (812) 232-7768 |
| Full Name | Raj Jeevan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 54 Years |
| Location | 1625 N 4th St, Terre Haute, Indiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851349682 | NPI | - | NPPES |
| 4954272007 | Medicaid | IL | |
| 000000084502 | Other | IN | ANTHEM BLUE CROSS BLUE SH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 01030797 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita-terre Haute Dialysis | Terre haute, IN | Dialysis facility |
| Davita-sullivan Dialysis | Sullivan, IN | Dialysis facility |
| Union Hospital Inc | Terre haute, IN | Hospital |
| Paris Community Hospital | Paris, IL | Hospital |
| Terre Haute Regional Hospital | Terre haute, IN | Hospital |
| Union Hospital Clinton | Clinton, IN | Hospital |
| Sullivan County Community Hospital | Sullivan, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Internal Medicine Nephrology, Inc. | 0547267759 | 4 |
| Kidney And Hypertension Center Of Wabash Valley Llc | 5799911145 | 5 |
| Kidney And Hypertension Specialists, Pllc | 7618312331 | 3 |
| Internal Medicine Nephrology, Inc. | 0547267759 | 4 |
| Kidney And Hypertension Center Of Wabash Valley Llc | 5799911145 | 5 |
| Entity Name | Internal Medicine Nephrology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083662779 PECOS PAC ID: 0547267759 Enrollment ID: O20070206000482 |
| Entity Name | Kidney And Hypertension Center Of Wabash Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396182788 PECOS PAC ID: 5799911145 Enrollment ID: O20220308000444 |
| Entity Name | Kidney And Hypertension Specialists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295436087 PECOS PAC ID: 7618312331 Enrollment ID: O20240304001434 |
| Mailing Address | Practice Location Address |
|---|---|
| Raj Jeevan, MD 1625 N 4th St, Terre Haute, IN 47804-4067 Ph: (812) 232-8716 | Raj Jeevan, MD 1625 N 4th St, Terre Haute, IN 47804-4067 Ph: (812) 232-8716 |
Diane Jordan-wagner, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1429 N 6th St, Terre Haute, IN 47804 Phone: 812-232-0564 Fax: 812-235-3330 | |
Sean James Kennedy, DO Nephrology Medicare: May Accept Medicare Assignments Practice Location: 1530 N 7th St Ste 200, Terre Haute, IN 47807 Phone: 812-238-7631 | |
Casey E Jacobs-campbell, FNP-BC Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1801 N 6th St, Terre Haute, IN 47804 Phone: 812-238-4708 | |
Imad George Koj, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3903 S 7th St, Ste 2e, Terre Haute, IN 47802 Phone: 812-235-7370 Fax: 812-235-7570 | |
Sudha Patel, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6288 S Frye St, Terre Haute, IN 47802 Phone: 812-894-2130 | |
Dr. Dipen V Shah, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1332 N 7th St, Terre Haute, IN 47807 Phone: 812-478-8888 Fax: 812-478-1114 | |
Dr. Tony K. Nasser, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th Street, Suite A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391 |