NPPES file of Aug 9, 2026

Pradeep N. Raju, M.D.

Sports Medicine (Family Medicine) Physician · Algonquin, IL

Pradeep N. Raju, M.D. is a sports medicine (family medicine) physician with a practice address in Algonquin, Illinois, and NPI 1568723211, issued on May 30, 2012. Check the license (Illinois 036140194, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1568723211
Name
Pradeep N. Raju
Credential
M.D.
Primary taxonomy
Sports Medicine (Family Medicine) Physician 207QS0010X
License number
036140194 IL
Self-reported in NPPES; status is on the state search
Practice location
650 S Randall RD, Algonquin, IL 60102
Phone
(815) 398-9491
Enumerated
May 30, 2012
Record last updated
Jun 16, 2026
Medicaid IDs
036140194 IL
0114301 OH
Medicare enrollment
Enrolled (PECOS I20160627001056); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 650 S Randall RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Emily Basler, OTROccupational Therapist1356873640
  2. Brittany Bennett, PA-CPhysician Assistant1740989185
  3. Frank Bohnenkamp, MDOrthopaedic Surgery Physician1669647129
  4. Robert Bohnenstiehl, APNNurse Practitioner1881367712
  5. Nicholas Brigham, PA-CPhysician Assistant1295589737
  6. Kelly Brinkman, DPTPhysical Therapist1023398179

Verify Pradeep N. Raju in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036140194
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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50% more Medicare Part D claims than the average sports medicine (family medicine) physician in 2024

1,282 Medicare Part D claims for 665 beneficiaries, against an average of 855 among the 2,237 providers of this specialty who prescribed in Part D. 372 claims were for opioids.

  1. Pradeep Raju1,282
  2. Specialty average855

Most prescribed

  1. Methylprednisolone642 claims
  2. Tramadol Hcl265 claims
  3. Cyclobenzaprine Hcl136 claims
  4. Hydrocodone-Acetaminophen63 claims
  5. Meloxicam63 claims
  6. Acetaminophen-Codeine37 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 71 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score61.0
  2. Costout of 100 · 30%64.0
  3. Promoting interoperabilityout of 100 · 25%74.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Advantage Physical Therapy And Sports Rehab, LLCHayward, WI
  2. Orthomidwest, PLLCRockford, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Pradeep N. Raju among 121 sports medicine (family medicine) physician records in Illinois

Pradeep N. Raju, M.D. is one of 121 sports medicine (family medicine) physician records with a practice address in Illinois. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 51% of them.

  • NPI issued2012 · 51% of these records are older, 45% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 79% of these records are
  • Graduated2012 · median 2011 among the 95 with a school on file
  • Record last updated2026 · 44% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QS0010X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Family Medicine) Physician providers in Illinois

There are 121 sports medicine (family medicine) physician records in Illinois.

The 8 sports medicine (family medicine) physician records with the nearest ZIP codes

  1. Michael McGarry, MDGreat Lakes, IL 600881639157142
  2. Joseph Crisman, MDElmhurst, IL 601261538746177
  3. Danielle Bass, M.D.Skokie, IL 600761790952752
  4. Kirsten Geary, M.D.Skokie, IL 600761245539725
  5. Eric Hoeper, MDSkokie, IL 600761982637450
  6. Joshua Lilly, DOSkokie, IL 600761649657008
  7. Ward McCracken, DOSkokie, IL 600761669714978
  8. Thomas Moran, MDSkokie, IL 600761649534447

Common questions

What is Pradeep N. Raju, M.D.'s NPI number?

Pradeep N. Raju, M.D.'s National Provider Identifier (NPI) is 1568723211, issued on May 30, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Pradeep N. Raju, M.D. located?

The NPPES record lists a practice address at 650 S Randall RD, Algonquin, IL, 60102. Phone: (815) 398-9491. Providers update this record themselves, so call before visiting.

How can I verify Pradeep N. Raju, M.D.'s license?

NPPES lists Illinois license number 036140194, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Pradeep N. Raju, M.D. prescribe under Medicare Part D?

In 2024, Pradeep N. Raju, M.D. had 1,282 Medicare Part D claims for 665 beneficiaries; the average among sports medicine (family medicine) physician prescribers was 855. Part D covers Medicare prescriptions only.

What is Pradeep N. Raju, M.D.'s MIPS final score?

The 2023 MIPS final score is 71 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.