Dr Ajay R Malpani, MD | |
2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | |
(309) 452-1788 | |
(309) 862-1302 |
Full Name | Dr Ajay R Malpani |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 39 Years |
Location | 2200 Fort Jesse Rd, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023063419 | NPI | - | NPPES |
036081598*1 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0904X | Radiology - Nuclear Radiology | 36081598 (Illinois) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 36081598 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ft Jesse Imaging Center Llc | 1951379106 | 4 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Ajay R Malpani, MD 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 Ph: (309) 452-1788 | Dr Ajay R Malpani, MD 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 Ph: (309) 452-1788 |
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 | |
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 |