Krishnamurthy Gururajan, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mundelein, Illinois. His current practice location is
205 E Park St, Mundelein, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 786-5672.
Krishnamurthy Gururajan is licensed to practice in Illinois (license number 036-076895) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548311194.
Physician's Profile
Full Name | Krishnamurthy Gururajan |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 205 E Park St, Mundelein, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548311194
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 03/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 6103802160
- Enrollment ID: I20040629000777
Medical Identifiers
Medical identifiers for Krishnamurthy Gururajan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548311194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 036-076895 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krishnamurthy Gururajan allows following entities to bill medicare on his behalf.
Entity Name | Mount Sinai Community Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
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Entity Name | Knox Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265481006 PECOS PAC ID: 6305813411 Enrollment ID: O20040916000542 |
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Entity Name | Knd Development 59 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992034599 PECOS PAC ID: 3678602802 Enrollment ID: O20101021000962 |
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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. Krishnamurthy Gururajan 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 Address | Practice Location Address |
Krishnamurthy Gururajan, MD 205 E Park St, Mundelein, IL 60060-1957 Ph: (847) 786-5672 | Krishnamurthy Gururajan, MD 205 E Park St, Mundelein, IL 60060-1957 Ph: (847) 786-5672 |
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