Dr Adrian M Cordoba, MD in Normal, IL - Medicare Diagnostic Radiology

Dr Adrian M Cordoba, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Normal, Illinois. He went to Saint Louis University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Carle West Physician Group Inc and his current practice location is 1300 Franklin Ave, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 454-1400.

Dr Adrian M Cordoba is licensed to practice in Illinois (license number 36087071) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942249131.

Contact Information

	Dr Adrian M Cordoba, MD
	1300 Franklin Ave, Normal, IL 61761-3592
	(309) 454-1400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Adrian M Cordoba
Gender	Male
Speciality	Diagnostic Radiology
Experience	33 Years
Location	1300 Franklin Ave, Normal, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Adrian M Cordoba attended and graduated from Saint Louis University School Of Medicine in 1991

NPI Data:

NPI Number: 1942249131
Provider Enumeration Date: 06/05/2006
Last Update Date: 02/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0547169419
Enrollment ID: I20050218000070

Medical Identifiers

Medical identifiers for Dr Adrian M Cordoba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942249131	NPI	-	NPPES
036087071*1	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	36087071 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Bromenn Medical Center	Normal, IL	Hospital
Advocate Eureka Hospital	Eureka, IL	Hospital
St Joseph Medical Center	Bloomington, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle West Physician Group Inc	8921420308	283

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Adrian M Cordoba allows following entities to bill medicare on his behalf.

Entity Name	Bloomington Radiology S C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700831773 PECOS PAC ID: 5092797621 Enrollment ID: O20040607000336

Entity Name	Ft Jesse Imaging Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245287143 PECOS PAC ID: 1951379106 Enrollment ID: O20070117000072

Entity Name	Carle West Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adrian M Cordoba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Adrian M Cordoba, MD 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () -	Dr Adrian M Cordoba, MD 1300 Franklin Ave, Normal, IL 61761-3592 Ph: (309) 454-1400

Reviews and Comments

Radiology Doctors in Normal, IL

Dr. Daniel L Ha, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302
Dr. Ajay R Malpani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302
Patrick S Fernandes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 407 E Vernon Ave, Normal, IL 61761 Phone: 309-451-2231 Fax: 309-451-2299
Dr. Carlos P Capati, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302
Dr. David Koch, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302
Amit Vyas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Road, Ste. 280, Normal, IL 61761 Phone: 730-945-2178 Fax: 309-862-1302
Nicholas Florence, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400

Dr Adrian M Cordoba, MD - Medicare Diagnostic Radiology in Normal, IL