Dr Kalyan Tatineny, MD - Medicare Diagnostic Radiology in Peoria, IL

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Dr Kalyan Tatineny, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Peoria, Illinois. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Cira Michigan Pc, Central Illinois Radiological Associates Ltd 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) 655-2000.

Dr Kalyan Tatineny is licensed to practice in Illinois (license number 036-164339) 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 1265751150.

Contact Information

Dr Kalyan Tatineny, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-1872
(309) 655-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kalyan Tatineny
GenderMale
SpecialityDiagnostic Radiology
Experience19 Years
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsYes. 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 Tatineny attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1265751150
  • Provider Enumeration Date: 05/18/2010
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759539398
  • Enrollment ID: I20130521000686

Medical Identifiers

Medical identifiers for Dr Kalyan Tatineny such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265751150NPI-NPPES
1265751150MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 14773 (Nevada)Secondary
2085R0202XRadiology - Diagnostic Radiology 68321 (Georgia)Secondary
2085R0202XRadiology - Diagnostic Radiology 036-164339 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterPeoria, ILHospital
St Joseph Medical CenterBloomington, ILHospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl CtrOttawa, ILHospital
Osf Heart Of Mary Medical CenterUrbana, ILHospital
St Mary Medical CenterGalesburg, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cira Michigan Pc711335526420
Central Illinois Radiological Associates Ltd9436061827156

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 Tatineny allows following entities to bill medicare on his behalf.
Entity NamePueblo Medical Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952353591
PECOS PAC ID: 2264328319
Enrollment ID: O20040225000547
Entity NameCentral Illinois Radiological Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538192828
PECOS PAC ID: 9436061827
Enrollment ID: O20161006001932
Entity NameCira Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972141513
PECOS PAC ID: 7113355264
Enrollment ID: O20231018000606

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 Tatineny 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 AddressPractice Location Address
Dr Kalyan Tatineny, MD
111 Oakwood Rd,
East Peoria, IL 61611-1853

Ph: (309) 740-4272		Dr Kalyan Tatineny, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-1872

Ph: (309) 655-2000

Reviews and Comments


Radiology Doctors in Peoria, IL

Dr. Lawrence C Wang, MD
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Practice Location: 401 Sw Water St, 1824, Peoria, IL 61602
Phone: 309-494-9320    
Dr. Matthew Trent Carpenter, MD
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Medicare: May Accept Medicare Assignments
Practice Location: 221 Ne Glen Oak Ave, Department Of Radiation Oncology, Peoria, IL 61636
Phone: 309-672-5700    Fax: 309-671-2774
Dr. Cameron Wailynn Taylor, MD
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Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2000    
Robert T Bockel, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 401 Sw Water St, Suite 507, Peoria, IL 61602
Phone: 309-494-9320    
Dr. Steven J Ullenius, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2000    
Dr. Amanda Catherine Cross, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61603
Phone: 309-655-2000    
Dr. Derek Beatty, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-7768    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.