Prutha R. Rajyaguru, PA-C
NPI 1306396700ActiveIndividual· Physician Assistant· Palos Heights, IL
Physician Assistant (PA-C) in Palos Heights, Illinois, licensed in IL, CA and IN, with an NPI issued in October 2016. Mostly services rather than prescriptions: Medicare paid $8,016 for 99 patients in 2024, with only 40 Part D claims. Ucb, Inc. reported $75.85 in payments in 2024, mostly food and beverage. Lists Palos Community Hospital as a hospital affiliation.
Overview
| NPI | 1306396700 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 10, 2016 |
| Last updated in NPPES | Jun 5, 2025 |
| Certified by provider | Jun 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085008524 | IL |
| Physician Assistant | 363A00000X | 53876 | CA |
| Physician Assistant | 363A00000X | 10004020A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA); Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 116 across 14 procedure codes |
| Paid by Medicare | $8,016 |
Part D prescriptions in 2024
| Prescriptions (claims) | 40 · 40 30-day fills |
|---|---|
| Patients | 32 |
| Total drug cost | $226.84 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Hospital affiliation
- Palos Community HospitalPalos Heights, IL
Industry payments (Open Payments)
- 2024$75.85 · 4 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ucb, Inc. | $75.85 | 4 |
What the 2024 payments were for
- Food and Beverage$75.85 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Palos Heights
- 1306460290
- 1336425560
- 1447877519
- 1467214726
- 1497305221
- 1770886723
- 1780140806
- 1790320802
- 1790391043
- 1982989687
- 1154185387
- 1417258906
All 34 physician assistants in Palos Heights · All physician assistants in Illinois