Dr Aswartha R Pothula, MD | |
1100 36th Avenue, Moline, IL 61265 | |
(309) 743-6700 | |
(309) 743-6709 |
Full Name | Dr Aswartha R Pothula |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 38 Years |
Location | 1100 36th Avenue, Moline, 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 |
---|---|---|---|
1497734396 | NPI | - | NPPES |
P00180525 | Other | MEDICARE RAILROAD | |
3549667 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | 036104468 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trinity - Rock Island | Rock island, IL | Hospital |
Hammond Henry Hospital | Geneseo, IL | Hospital |
Trinity Muscatine | Muscatine, IA | Hospital |
Trinity - Bettendorf | Bettendorf, IA | Hospital |
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cardiovascular Medicine Pllc | 2264334721 | 50 |
Trinity Medical Center | 2264337518 | 87 |
Unity Healthcare | 8224931548 | 56 |
Cardiovascular Medicine Pllc | 2264334721 | 50 |
Trinity Medical Center | 2264337518 | 87 |
Cgh Medical Center | 6103723267 | 161 |
Genesis Health System | 6103829338 | 186 |
Genesis Medical Center, Aledo | 7315190436 | 15 |
Entity Name | Unity Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629122742 PECOS PAC ID: 8224931548 Enrollment ID: O20040202000524 |
Entity Name | Trinity Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033163829 PECOS PAC ID: 2264337518 Enrollment ID: O20040217000414 |
Entity Name | Cardiovascular Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982632907 PECOS PAC ID: 2264334721 Enrollment ID: O20040322001926 |
Mailing Address | Practice Location Address |
---|---|
Dr Aswartha R Pothula, MD 1236 E Rusholme St Ste 300, Davenport, IA 52803-2473 Ph: (563) 324-2992 | Dr Aswartha R Pothula, MD 1100 36th Avenue, Moline, IL 61265 Ph: (309) 743-6700 |
Dr. Sanjeev Puri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-743-6709 | |
Dr. Bouyella H Reddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-743-6709 | |
Dr. Rao V Movva, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 545 Valley View Dr, Moline, IL 61265 Phone: 309-762-5560 Fax: 309-762-7351 | |
Brian T Cady, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Valley View Dr, Suite 203, Moline, IL 61265 Phone: 309-281-2950 Fax: 309-281-2959 | |
Dr. Balakrishna Mundodi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 John Deere Rd, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042 | |
Dr. Faraz Manazir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042 | |
Dr. Eileen Castro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 19th Ave, Suite 103, Moline, IL 61265 Phone: 309-779-7050 Fax: 309-779-7055 |