Dr Phanicharan Aditya Sistla, MD in Moline, IL

Dr Phanicharan Aditya Sistla, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Moline, Illinois. His current practice location is 1100 36th Ave, Moline, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 743-6700.

Dr Phanicharan Aditya Sistla is licensed to practice in Illinois (license number 036.155554) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720427453.

Contact Information

	Dr Phanicharan Aditya Sistla, MD
	1100 36th Ave, Moline, IL 61265-7127
	(309) 743-6700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Phanicharan Aditya Sistla
Gender	Male
Speciality	Internal Medicine - Interventional Cardiology
Location	1100 36th Ave, Moline, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720427453
Provider Enumeration Date: 06/15/2013
Last Update Date: 10/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9931408234
Enrollment ID: I20160715001136

Medical Identifiers

Medical identifiers for Dr Phanicharan Aditya Sistla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720427453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD-43414 (Iowa)	Secondary
207R00000X	Internal Medicine	255413 (Massachusetts)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	MD-43414 (Iowa)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	MD-43414 (Iowa)	Secondary
208M00000X	Hospitalist	MD-43414 (Iowa)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	036.155554 (Illinois)	Primary

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 Phanicharan Aditya Sistla allows following entities to bill medicare on his behalf.

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

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 Phanicharan Aditya Sistla 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 Phanicharan Aditya Sistla, MD 1100 36th Ave, Moline, IL 61265-7127 Ph: (309) 743-6700	Dr Phanicharan Aditya Sistla, MD 1100 36th Ave, Moline, IL 61265-7127 Ph: (309) 743-6700

Reviews and Comments

Internal Medicine Doctors in Moline, IL

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

Dr Phanicharan Aditya Sistla, MD - Medicare Internal Medicine in Moline, IL