2026 NPPES data Specialist NPI 1164539094 M.D.
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RAKESH MARWAHA, M.D.

Specialist in NAPERVILLE, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
13K
Medicare Part D claims · 665 beneficiaries · Specialist avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.3K
132 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAKESH MARWAHA, M.D. filed 13,388 Medicare Part D claims in 2023 as a Specialist in NAPERVILLE, Illinois, prescribing 85% generic.

13K
Part D claims, 2023
85%
generic prescribing
$2.3K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

RAKESH MARWAHA, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

13,388 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about RAKESH MARWAHA, M.D.?

Quality data not reported

NPI registry status

Active

Issued 08/24/2006

NPI 1164539094

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

13,388 808% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Illinois

How Specialist compares to other specialties among Illinois providers

Illinois providers

Specialist share within Illinois

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Specialist ABMS/AOA estimate

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

RAKESH MARWAHA, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 640 S WASHINGTON ST, NAPERVILLE, IL, 60540, with a listed phone of (630) 527-6390. NPI 1164539094 was issued on 08/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARWAHA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 13,388 prescription claims written by this provider, covering 665 Medicare beneficiaries and totaling roughly $2.4 million in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 3.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

640 S WASHINGTON ST
NAPERVILLE, IL 60540

Provider Details

NPI 1164539094
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 08/24/2006

Hospital and facility affiliations

Facilities where RAKESH MARWAHA, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

RAKESH MARWAHA MD SC
NAPERVILLE, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for RAKESH MARWAHA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

AIMMUNE THERAPEUTICS, INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to RAKESH MARWAHA, M.D.. To verify RAKESH MARWAHA, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RAKESH MARWAHA, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 13,388 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

13,388
Total Claims
$2.4M
Total Drug Cost
665
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
28,309
Total Day Supply
819,748
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$2.1M
Generic Drug Cost
$261K
Opioid Claims
435 (3.2% rate)
Antibiotic Claims
300

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.36
Gender Split
48% female / 52% male
Age Distribution
<65: 54, 65-74: 309, 75-84: 230, 85+: 72

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What RAKESH MARWAHA, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Losartan Potassium
563
Levothyroxine Sodium
471
Amlodipine Besylate
449
Rosuvastatin Calcium
417
Atorvastatin Calcium
399
Metoprolol Succinate
383
Metformin Hcl Er
Metformin Hcl
319
Pravastatin Sodium
293
Gabapentin
284
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
234

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Specialist Overview

How RAKESH MARWAHA, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

RAKESH MARWAHA, M.D.'s 13,388 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as MARWAHA.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAKESH MARWAHA, M.D.'s specialty?
RAKESH MARWAHA, M.D. specializes in Specialist and practices in NAPERVILLE, Illinois. Credentials: M.D..
How much does RAKESH MARWAHA, M.D. prescribe under Medicare Part D?
In 2023, RAKESH MARWAHA, M.D. wrote 13,388 Medicare Part D claims totaling $2.4M in drug costs for 665 beneficiaries.
Where is RAKESH MARWAHA, M.D. located?
RAKESH MARWAHA, M.D. is located at 640 S WASHINGTON ST, NAPERVILLE, IL, 60540. Phone: (630) 527-6390.
What is RAKESH MARWAHA, M.D.'s NPI number?
RAKESH MARWAHA, M.D.'s National Provider Identifier (NPI) is 1164539094, issued on 08/24/2006.
Does RAKESH MARWAHA, M.D. prescribe more brand-name or generic drugs?
RAKESH MARWAHA, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $2.1M in brand drug costs.
Does RAKESH MARWAHA, M.D. prescribe opioids?
Yes, RAKESH MARWAHA, M.D. had 435 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does RAKESH MARWAHA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAKESH MARWAHA, M.D.'s most frequently prescribed drugs include Losartan Potassium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAKESH MARWAHA, M.D. accept Medicare?
RAKESH MARWAHA, M.D. appears in CMS Medicare data with 13,388 Part D claims and 665 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAKESH MARWAHA, M.D.'s credentials?
RAKESH MARWAHA, M.D.'s NPI is 1164539094 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology