Raju Shanmugam, MD
NPI 1043448111 · Family Medicine Physician · Rockford, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raju Shanmugam, MD is a Family Medicine Physician provider in Rockford, IL (NPI 1043448111).
Provider details
- NPI number
- 1043448111
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036129587 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,731 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 751 | $91 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 291 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 225 | $118 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 158 | $103 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 119 | $61 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 208 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 977 | 252 |
| Levothyroxine Sodium | 957 | 171 |
| Amlodipine Besylate | 637 | 198 |
| Omeprazole | 619 | 117 |
| Losartan Potassium | 545 | 144 |
| Lisinopril | 456 | 115 |
| Pantoprazole Sodium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-29
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Frequently asked questions
- What is Raju Shanmugam's NPI number?
- Raju Shanmugam's National Provider Identifier (NPI) is 1043448111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raju Shanmugam's specialty?
- Raju Shanmugam is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Raju Shanmugam located?
- Raju Shanmugam's practice location on file with NPPES is 3401 N Perryville Rd, Rockford, IL 61114-8011.
- What is Raju Shanmugam's phone number?
- The practice phone number listed in the NPPES registry for Raju Shanmugam is (815) 971-2000.
- Does Raju Shanmugam accept Medicare?
- Raju Shanmugam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raju Shanmugam's NPI active?
- Yes — Raju Shanmugam's NPI (1043448111) is active in the NPPES registry as of the last update on 2026-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.