Kan Y Wu (NPI# 1972590362, PAC ID# 2264324052) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1972590362 |
| PAC ID by PECOS | 2264324052 |
| Professional Enrollment ID | I20060601000077 |
| Full Name | Kan Y Wu |
| Organization Legal Name | EAST CENTRAL ILLINOIS RADIOLOGY ASSOCIATES, LLC |
| Address |
1400 W Park Radiology Dept Urbana IL 61801-2334 |
| Phone Number | 2173372162 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3870750482 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140113 | PRESENCE COVENANT MEDICAL CENTER- URBANA |
| 140093 | PRESENCE UNITED SAMARITANS MEDICAL CENTER |
| 140091 | THE CARLE FOUNDATION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 812 N Logan Ave, Radiology Dept, Danville, IL 61832-3752 | 2174435000 | EAST CENTRAL ILLINOIS RADIOLOGY ASSOCIATES, LLC |
| 1400 W Park, Radiology Dept, Urbana, IL 61801-2334 | 2173372162 | EAST CENTRAL ILLINOIS RADIOLOGY ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% |
| Organization Legal Name | EAST CENTRAL ILLINOIS RADIOLOGY ASSOCIATES, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jagannadharao Brahmamdam | Diagnostic Radiology | East Central Illinois Radiology Associates, LLC | 1400 W Park, Radiology Dept, Urbana, IL 61801-2334 |
| Chilakapati V Ramaprasad | Diagnostic Radiology | East Central Illinois Radiology Associates, LLC | 1400 W Park, Radiology Dept, Urbana, IL 61801-2334 |
| Street Address |
1400 W PARK RADIOLOGY DEPT |
| City | URBANA |
| State | IL |
| Zip | 61801-2334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jagannadharao Brahmamdam | Diagnostic Radiology | East Central Illinois Radiology Associates, LLC | 1400 W Park, Radiology Dept, Urbana, IL 61801-2334 |
| Chilakapati V Ramaprasad | Diagnostic Radiology | East Central Illinois Radiology Associates, LLC | 1400 W Park, Radiology Dept, Urbana, IL 61801-2334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Elisha Kleber | Physical Therapy | 1804 N Lincoln Ave, Urbana, IL 61801-1023 | |
| Kevin M Lowe | General Surgery | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Kendrith M Rowland Jr. | Hematology/oncology | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Priyankkumar P Patel | Internal Medicine | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Kalika Sarma | Radiation Oncology | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Suparna Mantha | Hematology/oncology | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Vamsi Krishna Vasireddy | Hematology/oncology | Carle Health Care Incorporated | 509 W University Ave, Urbana, IL 61801-1645 |
| Kurtis A Mayz Jr. | Emergency Medicine | Shemauger Emergency Physicians LLC | 1400 W Park St, Urbana, IL 61801-2334 |
| Sathya Subbiah | Endocrinology | Christie Clinic, LLC | 1400 W Park St, Urbana, IL 61801-2334 |
| Salim George Khazoum | Pathology | Christie Clinic, LLC | 1400 W Park St, Urbana, IL 61801-2334 |
| Find all physicians in zip 61801 | |||
| City | URBANA |
| Zip Code | 61801 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | URBANA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kan Y Wu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.