Revathi Swaminathan (NPI# 1841234929, PAC ID# 2961416185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1841234929 |
| PAC ID by PECOS | 2961416185 |
| Professional Enrollment ID | I20060126000835 |
| Full Name | Revathi Swaminathan |
| Organization Legal Name | CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD |
| Address |
221 Ne Glen Oak Ave Peoria IL 61636-0001 |
| Phone Number | 3096725700 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1967 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 2062426281 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140013 | PROCTOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 450 Mayo Dr, Galesburg, IL 61401-1211 | 3093442831 | WESTERN ILLINOIS CANCER TREATMENT CENTER |
| 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 3096725700 | CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Carpenter | Radiation Oncology | Central Illinois Radiation Oncology Physicians, Ltd | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Street Address |
221 NE GLEN OAK AVE |
| City | PEORIA |
| State | IL |
| Zip | 61636-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa S Terhark | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Matthew Carpenter | Radiation Oncology | Central Illinois Radiation Oncology Physicians, Ltd | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Craig D Koch | Emergency Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Gretchen J Hackett | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Mckenzie R Likes | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Tonya Sue Vining | Emergency Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Kent C. Webb | Diagnostic Radiology | Specialists In Medical Imaging Sc | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Jeffrey L Williamson | Colorectal Surgery (proctology) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Mmg Cardiology, Peoria, IL 61636-0001 |
| Bethany K Miller | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| David Lloyd | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia C Layton | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Mika Johnson | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Anne Rene Webster | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Pooja Gupta | Pulmonary Disease | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Aiyub Patel | Pulmonary Disease | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Anota Nwejengoh Akofu | Internal Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Praveen R Anegondhi Sudhindra | Internal Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Tammy Burtch | Clinical Social Worker | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Angela Walker | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Dragica Durman | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Find all physicians in zip 61636 | |||
| City | PEORIA |
| Zip Code | 61636 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | PEORIA + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Revathi Swaminathan.
| 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.