Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Raju M Shanmugam, MD

Individual provider Family Medicine Physician · NPI 1043448111

Dr. Raju M Shanmugam, MD is a Family Practice in Rockford, Illinois. Qualified in 1999, 27 years ago. Practices with Rockford Health Physicians, a 521-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2009
Specialties on file
2
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

3401 N Perryville Rd
Rockford, IL 61114-8011
Phone: (815) 971-2000
Fax: (815) 971-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036129587 (IL)
Urgent Care Clinic/Center Taxonomy 261QU0200X · Licence 036.129587 (IL)

Record details

NPI number1043448111
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2009
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Rockford Health Physicians — 521 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rockford