Anil Kumar Reddy Reddivari, MD, | |
221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | |
(309) 672-5729 | |
Not Available |
Full Name | Anil Kumar Reddy Reddivari |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 20 Years |
Location | 221 Ne Glen Oak Ave, Peoria, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164687968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125053289 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Methodist Medical Center Of Illinois | 1355259714 | 246 |
Entity Name | Pekin Prohealth Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Proctor Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Entity Name | Iowa Physicians Clinic Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20040512000055 |
Mailing Address | Practice Location Address |
---|---|
Anil Kumar Reddy Reddivari, MD, 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 Ph: () - | Anil Kumar Reddy Reddivari, MD, 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 Ph: (309) 672-5729 |
Sandeep Banga, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732 | |
Riaz Shah, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729 | |
Dr. James Daniel Dewar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257 | |
Waqas Ali, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Dr. Sudhir Mungee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830 | |
Dr. Nikesh Kavi Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732 | |
Dr. Bhanu T Paturi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383 |