Prutha R Rajyaguru, PA-C - Medicare Physician Assistant in Palos Heights, IL

  1. Home
  2. Physician Assistant
  3. IL
  4. Palos Heights
Prutha R Rajyaguru, PA-C is a medicare enrolled "Physician Assistant" in Palos Heights, Illinois. Her current practice location is 12255 S 80th Ave Ste 203, Palos Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 827-2021.

Prutha R Rajyaguru is licensed to practice in Illinois (license number 085008524) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306396700.

Contact Information

Prutha R Rajyaguru, PA-C
12255 S 80th Ave Ste 203,
Palos Heights, IL 60463-1284
(708) 827-2021
(708) 827-2241

Map and Direction




Provider's Profile

Full NamePrutha R Rajyaguru
GenderFemale
SpecialityPhysician Assistant
Location12255 S 80th Ave Ste 203, Palos Heights, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306396700
  • Provider Enumeration Date: 10/10/2016
  • Last Update Date: 06/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2961781562
  • Enrollment ID: I20161123001035

Medical Identifiers

Medical identifiers for Prutha R Rajyaguru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306396700NPI-NPPES
068010915OtherINMEDICARE PTAN
300077922MedicaidIN
085008524OtherILSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 53876 (California)Secondary
363A00000XPhysician Assistant 10004020A (Indiana)Secondary
363A00000XPhysician Assistant 085008524 (Illinois)Primary

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. Prutha R Rajyaguru 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
Prutha R Rajyaguru, PA-C
12255 S 80th Ave Ste 203,
Palos Heights, IL 60463-1284

Ph: (708) 827-2021		Prutha R Rajyaguru, PA-C
12255 S 80th Ave Ste 203,
Palos Heights, IL 60463-1284

Ph: (708) 827-2021

Reviews and Comments


Physician Assistant Nurses in Palos Heights, IL

Mohammed Abdul Mannan Ansari, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7350 W College Dr Ste 103, Palos Heights, IL 60463
Phone: 708-694-9876    
Amanda N Murray, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463
Phone: 708-923-4200    Fax: 708-923-4201
Nicole Denee Joy, P.A.-C.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7808 W College Dr, Suite 1sw, Palos Heights, IL 60463
Phone: 708-361-0730    Fax: 708-361-0740
Daniel L Cardwell, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463
Phone: 708-923-4200    Fax: 708-923-4201
Ayanna Banks,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 12632 S Harlem Ave # 60463, Palos Heights, IL 60463
Phone: 708-587-0000    
David Reyes, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463
Phone: 708-923-4200    Fax: 708-923-4201

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.