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

Raji Jacob, MD

Individual provider Nephrology Physician · NPI 1538325477

Raji Jacob, MD is a Nephrology in Peoria, Illinois. Qualified in 2001, 25 years ago. Practices with Renalcare Associates, SC, a 48-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
25
Licensed in
IL
In the registry since
2008
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

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3168
Phone: (309) 676-8123
Fax: (309) 676-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 Health Center Dr, Mattoon, IL 61938-4644 — (217) 238-6247
  • 600 S 13th St Ste K, Pekin, IL 61554-4936 — (309) 676-8123

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036134553 (IL)

Record details

NPI number1538325477
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 30, 2008
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Renalcare Associates, S.C. — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Peoria