RAJA RAM POLUDASU M.D. – NPI #1578682464
Nuclear Medicine

A nuclear medicine physician who specializes in nuclear imaging and therapy.

Health Care Provider Taxonomy Code for Nuclear Medicine

RAJA RAM POLUDASU is a physician located in PARK RIDGE, IL. NPPES has assigned the NPI number 1578682464 to RAJA RAM POLUDASU on March 29, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207UN0902X from the Health Care Provider Taxonomy code set, which is classified as Nuclear Medicine, specializing in Nuclear Imaging & Therapy

The NPI profile was last updated on Feb 26, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RAJA RAM POLUDASU below.

NPI Profile for
RAJA RAM POLUDASU

NPI Number
1578682464
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RAJA RAM POLUDASU
Credentials
M.D.
Primary location
1420 RENAISSANCE DR STE 307
PARK RIDGE, IL 60068-1343
Phone: (847) 803-1000 Fax: (847) 803-1098
Mailing address
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone: (847) 390-5900 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207UN0902X
- Nuclear Medicine / Nuclear Imaging & Therapy (Primary)		 NY P53187
2085R0202X
- Radiology / Diagnostic Radiology		 IL 036121439

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
CSV
Affiliation
Y
Endpoint Location
64 S PRICE RD STE B,
BROWNSVILLE, TX 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1420 RENAISSANCE DR STE 307,
PARK RIDGE, IL 77025-1669
Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1420 RENAISSANCE DR STE 307,
PARK RIDGE, IL 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RAJA RAM POLUDASU is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
      836 WEST WELLINGTON AVENUE
      CHICAGO, IL 60657
    • ADVOCATE LUTHERAN GENERAL HOSPITAL
      1775 DEMPSTER ST
      PARK RIDGE, IL 60068
    • NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
      2650 RIDGE AVE
      EVANSTON, IL 60201
    • NORTHWEST COMMUNITY HOSPITAL 1
      800 W CENTRAL ROAD
      ARLINGTON HEIGHTS, IL 60005

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.