Dr Kalyan Chakravarthy Potu, MD in Peoria, IL - Medicare Cardiovascular Disease (cardiology)

Dr Kalyan Chakravarthy Potu, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Peoria, Illinois. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Pocatello Health Services Llc and his current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 624-3598.

Dr Kalyan Chakravarthy Potu is licensed to practice in Illinois (license number 036148458) 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 1861834897.

Contact Information

	Dr Kalyan Chakravarthy Potu, MD
	530 Ne Glen Oak Ave, Peoria, IL 61637-1554
	(309) 624-3598
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kalyan Chakravarthy Potu
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	12 Years
Location	530 Ne Glen Oak Ave, Peoria, 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 Kalyan Chakravarthy Potu graduated from medical school in 2012

NPI Data:

NPI Number: 1861834897
Provider Enumeration Date: 07/18/2013
Last Update Date: 10/07/2024

Medicare PECOS Information:

PECOS PAC ID: 8527297704
Enrollment ID: I20231215001644

Medical Identifiers

Medical identifiers for Dr Kalyan Chakravarthy Potu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861834897	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0135 (South Dakota)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	036148458 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Portneuf Medical Center	Pocatello, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pocatello Health Services Llc	6608927637	153

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 Kalyan Chakravarthy Potu allows following entities to bill medicare on his behalf.

Entity Name	Pocatello Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646

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 Kalyan Chakravarthy Potu 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 Kalyan Chakravarthy Potu, MD 530 N.e. Glen Oak Avenue, Peoria, IL 61637 Ph: () -	Dr Kalyan Chakravarthy Potu, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-1554 Ph: (309) 624-3598

Reviews and Comments

Internal Medicine Doctors in Peoria, IL

Sandeep Banga, M.D. Cardiovascular Disease 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 Cardiovascular Disease 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. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257
Waqas Ali, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Dr. Sudhir Mungee, MD Cardiovascular Disease 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 Cardiovascular Disease 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 Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383

Dr Kalyan Chakravarthy Potu, MD - Medicare Cardiovascular Disease (cardiology) in Peoria, IL