Dr Venkat Rao Kakollu, MD | |
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
(309) 655-3292 | |
Not Available |
Full Name | Dr Venkat Rao Kakollu |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 18 Years |
Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447681044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 036.135667 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Board Of Trustees Of The University Of Illinois | 3072422716 | 923 |
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Pekin Prohealth Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Proctor Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Dr Venkat Rao Kakollu, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-3292 | Dr Venkat Rao Kakollu, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-3292 |
Tayyaba Irshad, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-8829 | |
Dhaval Save, M.D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 312-351-3652 | |
Asra Rab, M.D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave Ste W514, Peoria, IL 61636 Phone: 309-672-5522 | |
Dr. Parth Hemantkumar Mehta, M.D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5729 Fax: 309-672-5772 | |
Mr. Umair Iqbal, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-4533 | |
Deepak Taneja, M.D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1001 Main St, Suite 200, Peoria, IL 61606 Phone: 309-672-5682 Fax: 309-672-3147 |