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NPISignal

Individual Healthcare Provider

Bao-Lan Raikar, MD

NPI Record: ActiveSurgery
NPI1841308830
Gurnee, Illinois

Provider's NPPES record last updated: October 30, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1841308830
Primary Specialty
Surgery
Practice Location
Gurnee, Illinois
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 11:07 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X
  • Phlebology

    Allopathic & Osteopathic Physicians

    Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.

    Taxonomy code 202K00000X

Provider-Reported License Information

Surgery (Illinois)
39327-20
Phlebology (Illinois)
39327-20
Surgery (California)
A69461
Surgery (Minnesota)
35479
Surgery (Wisconsin)
39327
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

200 S Greenleaf St Ste E

Gurnee, Illinois 60031-3398

Phone: (800) 991-6117

Additional Practice Location

9200 W Wisconsin Ave

Milwaukee, Wisconsin 53226-3522

Phone: (414) 805-5700

Fax: (414) 454-0152

Additional Practice Location

1144 Norman Dr Ste 203b

Manteca, California 95336

Phone: (209) 239-6008

Fax: (209) 239-3408

Additional Practice Location

1541 Florida Ave Ste 200

Modesto, California 95350

Phone: (209) 577-3388

Fax: (209) 523-7583

Additional Practice Location

1541 Florida Ave Ste 200

Modesto, California 95350

Phone: (209) 577-3388

Fax: (209) 523-7583

Additional Practice Location

1541 Florida Ave Ste 200

Modesto, California 95350

Phone: (209) 577-3388

Fax: (209) 523-7583

Additional Practice Location

1541 Florida Ave Ste 200

Modesto, California 95350

Phone: (209) 577-3388

Fax: (209) 523-7583

Additional Practice Location

7901 S 6th St

Oak Creek, Wisconsin 53154-2010

Phone: (414) 346-8000

Fax: (414) 346-8010

Record Information

Enumeration Date
August 29, 2006
Provider's NPPES Record Last Updated
October 30, 2025
Certification Date
October 30, 2025
NPISignal NPPES Dataset
August 2026

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