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Prutha R Rajyaguru, PA-C

Physician Assistant in Palos Heights, IL · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306396700

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Registry record

Entity type Individual (Type 1)
Name Prutha R Rajyaguru
Credential PA-C
Sex Female
Practice address 12255 S 80th Ave Ste 203, Palos Heights, IL, 60463
Fax (708) 827-2241
Enumeration date Oct 10, 2016
Last updated in NPPES Jun 5, 2025

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 53876 (CA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10004020A (IN) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085008524 (IL) Primary

Other identifiers

Identifier Type State Issuer
068010915 Other IN MEDICARE PTAN
300077922 Medicaid IN -
085008524 Other IL STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Prutha Rajyaguru's NPI record?
Cross-check NPI 1306396700 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1306396700 active?
Yes, as of the latest NPPES snapshot, NPI 1306396700 is active (record last updated 2025-06-05).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-05.