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

Ruju Vivek Trivedi

Individual provider Physician Assistant · NPI 1710680459

Ruju Vivek Trivedi is a Physician Assistant in Kankakee, Illinois. Qualified in 2024, 2 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2023

Practice location Address checks out

555 W Court St Ste 214
Kankakee, IL 60901-3674
Phone: (815) 928-6131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085010923 (IL)

Record details

NPI number1710680459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kankakee