DR. RAJINDER KUMAR GULIANI MD FACC
NPI 1639276629
Internal Medicine - Cardiovascular Disease in Chicago, IL
NPI Status: Active since September 20, 2006
Contact Information
5140 N CALIFORNIA AVE
SUITE 630
CHICAGO, IL
ZIP 60625
Phone: (773) 728-0929
Fax: (773) 728-3524
- Individual
- Male
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About RAJINDER GULIANI
This page provides the complete NPI Profile along with additional information for Rajinder Guliani, an internist established in Chicago, Illinois with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1639276629 assigned on September 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 036053063 (IL). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1639276629
- Provider Name
- DR. RAJINDER KUMAR GULIANI MD FACC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5140 N CALIFORNIA AVE SUITE 630 CHICAGO, IL 60625
- Location Phone
- (773) 728-0929
- Location Fax
- (773) 728-3524
- Mailing Address
- 5140 N CALIFORNIA AVE SUITE 630 CHICAGO, IL 60625
- Mailing Phone
- (773) 728-0929
- Mailing Fax
- (773) 728-3524
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2006
- Last Update Date
- 08-21-2008
- Code Navigator
An internist like Rajinder Guliani is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036053063
- License State
- IL
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C44368 | MEDICARE UPIN (02) | ||
| 635410 | MEDICARE ID-TYPE UNSPECIFIED (04) |
Medicare Participation & PECOS Enrollment Status
Rajinder Guliani is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Electrocardiogram (ecg) 1 to 3 leads with review by physician
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Evaluation of single, dual, multiple lead or leadless pacemaker system
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 70 minutes
New patient office or other outpatient visit, 60-74 minutes
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. It uses 1 to 3 leads (sensors) placed on your skin. A physician reviews the results to assess heart rate, rhythm, and detect any abnormalities.
This service was performed 434 times for 92 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 508 times for 96 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 27 times for 26 patientsAn evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
This service was performed 62 times for 12 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 24 times for 12 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 17 times for 14 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 11 times for 11 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 492 times for 97 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 23 times for 12 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60625 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.86
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.8
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $18.7
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes screening | Yes | N/A |
| Diabetes screening for people with schizophrenia or bipolar disease who are using antipsychotic medication. | ||
| Diabetes: Medical Attention for Nephropathy | 67% | 24 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| Documentation of Current Medications in the Medical Record | 93% | 283 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| e-Prescribing | 100% | 71 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 30% | 131 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide Patient Access | 48% | 131 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Syndromic Surveillance Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_2_MULTI. | ||
| Tobacco use | Yes | N/A |
| Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence. | ||
| Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 98 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 2 | 7 | 6 | 6 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 4 | 7 | 12 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 4 + 7 + 1 + 2 + 6 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1639276629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326046681 | OLGA ZUK M.D. Individual | Internal Medicine (Hematology & Oncology) | 5140 N CALIFORNIA AVE SUITE 115 CHICAGO, IL 60625 (773) 989-3803 |
| 1871563379 | MS. MARGARET BARRY AGUILAR R.N., F.N.P. Individual | Nurse Practitioner (Family) | 5140 N CALIFORNIA AVE PRE-SURGICAL TESTING CHICAGO, IL 60625 (773) 989-3822 |
| 1063479202 | ALAN MELVIN ROGIN MD Individual | Urology | 5140 N CALIFORNIA AVE SUITE 775 CHICAGO, IL 60625 (773) 878-7555 |
| 1528014065 | DR. IGOR RECHITSKY M.D. Individual | Psychiatry & Neurology (Neurology) | 5140 N CALIFORNIA AVE SUITE 620 CHICAGO, IL 60625 (773) 907-3530 |
| 1376587030 | DR. ELIAS G GIKAS M.D. Individual | Plastic Surgery | 5140 N CALIFORNIA AVE SUITE 735 CHICAGO, IL 60625 (773) 878-6525 |
| 1164454534 | COLLEEN SHAUGHNESSY N.P. Individual | Nurse Practitioner | 5140 N CALIFORNIA AVE CHICAGO, IL 60625 (773) 878-8200 |
| 1770516379 | DR. MAURINA B GALVEZ MD Individual | Pediatrics | 5140 N CALIFORNIA AVE SUITE 715 CHICAGO, IL 60625 (773) 878-3825 |
| 1073539417 | SHAHEEN A HUMAYUN MD Individual | Family Medicine | 5140 N CALIFORNIA AVE SUITE 700 CHICAGO, IL 60625 (773) 784-2101 |
| 1275550964 | HAMID M HUMAYUN MD Individual | Internal Medicine (Nephrology) | 5140 N CALIFORNIA AVE SUITE 700 CHICAGO, IL 60625 (773) 784-2101 |
| 1033139092 | DR. MOYEED AKHTAR M.D. Individual | Pediatrics | 5140 N CALIFORNIA AVE SUITE 700 CHICAGO, IL 60625 (773) 784-2101 |
| 1003838574 | DR. VASEEM QURESHI M.D. Individual | Internal Medicine (Nephrology) | 5140 N CALIFORNIA AVE SUITE 700 CHICAGO, IL 60625 (773) 784-2101 |
| 1689687527 | BOFFA MEDICAL GROUP LLC Organization | Surgery | 5140 N CALIFORNIA AVE SUITE 780 CHICAGO, IL 60625 (773) 273-6810 |
| 1083627897 | DR. JOHN JOSEPH NATALE MD Individual | Surgery (Vascular Surgery) | 5140 N CALIFORNIA AVE SUITE 780 CHICAGO, IL 60625 (847) 222-1443 |
| 1174633960 | HAN KUCK LIM MD Individual | Ophthalmology | 5140 N CALIFORNIA AVE SUITE 565 CHICAGO, IL 60625 (773) 907-8700 |
| 1710083894 | SWEDISH COVENANT FACULTY GROUP Organization | Family Medicine | 5140 N CALIFORNIA AVE G400 CHICAGO, IL 60625 (773) 989-3806 |
| 1205933355 | SUNG SUP KIM M.D. P.C. Organization | Internal Medicine (Cardiovascular Disease) | 5140 N CALIFORNIA AVE SUITE G 465 CHICAGO, IL 60625 (773) 271-8700 |
| 1710074976 | HUMAYUN S S C Organization | Family Medicine | 5140 N CALIFORNIA AVE SUITE 700 CHICAGO, IL 60625 (773) 784-2101 |
| 1598847642 | DR. FREDRICK ELLYIN, LTD Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 5140 N CALIFORNIA AVE SUITE 545 CHICAGO, IL 60625 (773) 275-0177 |
| 1760561872 | DR. CHONG SOO RIM M.D. Individual | Obstetrics & Gynecology | 5140 N CALIFORNIA AVE SUITE 740 CHICAGO, IL 60625 (773) 275-4446 |
| 1538234075 | BELLA GOLAND, M.D., S.C. Organization | Internal Medicine | 5140 N CALIFORNIA AVE SUITE 525 CHICAGO, IL 60625 (773) 769-1400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639276629, enumerated in the NPI registry as an "individual" on September 20, 2006
The provider is located at 5140 N California Ave Suite 630 Chicago, Il 60625 and the phone number is (773) 728-0929
The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $138.86 with an average copayment of $34.71 for new patient appointments. Established patients should expect a typical charge of $74.8 and an average copayment of 18.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Electrocardiogram (ecg) 1 to 3 leads with review by physician, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Evaluation of single, dual, multiple lead or leadless pacemaker system, Follow-up hospital inpatient care per day, typically 35 minutes, Initial hospital inpatient care per day, typically 70 minutes, New patient office or other outpatient visit, 60-74 minutes, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report and Ultrasound of heart with color-depicted blood flow, rate, direction and valve function.
This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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