Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jithinraj Edakkanambeth Varayil, MD

Individual provider Family Medicine Physician · NPI 1033591847

Dr. Jithinraj Edakkanambeth Varayil, MD is a Family Practice in Rockford, Illinois. Qualified in 2009, 17 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Minnesota.

Years since qualifying
17
Licensed in
IL, MN
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 W State St
Rockford, IL 61102
Phone: (815) 490-1600
Fax: (815) 490-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1221 E State St, Rockford, IL 61104-2231 — (815) 972-1000
  • 200 1st St Sw, Rochester, MN 55905-0002 — (507) 284-2511

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 69874 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125-067838 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125-067838 (IL)

Record details

NPI number1033591847
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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