Rajesh Banderudrappagari (NPI# 1093094260, PAC ID# 3173849742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1093094260 |
| PAC ID by PECOS | 3173849742 |
| Professional Enrollment ID | I20170405002057 |
| Full Name | Rajesh Banderudrappagari |
| Organization Legal Name | SPRINGFIELD CLINIC LLP |
| Address |
1215 Franciscan Dr 2nd Flr Litchfield IL 62056-1778 |
| Phone Number | 2173248420 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 0547166076 |
| Number of Group Practice Members | 538 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| 141350 | ST FRANCIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1215 Franciscan Dr 2nd Flr, Litchfield, IL 62056-1778 | 2173248420 | SPRINGFIELD CLINIC LLP |
| 800 E Carpenter Rm, 2k20, Springfield, IL 62702-5324 | 2175446464 | SPRINGFIELD CLINIC LLP |
| Organization Legal Name | SPRINGFIELD CLINIC LLP |
| Physicians | 568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Akers | Nurse Practitioner | Springfield Clinic LLP | 505 E Grant St, Suite 110, Macomb, IL 61455-3394 |
| Kelsey K. Kniepmann | Registered Dietitian Or Nutrition Professional | Springfield Clinic LLP | 350 W Carpenter St, Springfield, IL 62702-4902 |
| Jessica M Sestak | Nurse Practitioner | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Elijah Kim | General Surgery | Springfield Clinic LLP | 301 N 8th St 6th Flr, St John Pavilion, Springfield, IL 62701-1041 |
| Jared Bernard | Critical Care (intensivists) | Springfield Clinic LLP | 301 N 8th St 3rd Flr Rm, Suite 134, Springfield, IL 62701-1041 |
| Rabia Asghar | Endocrinology | Springfield Clinic LLP | 20613 N Broad St, Carlinville, IL 62626-3720 |
| Tonya L. Heim | Nurse Practitioner | Springfield Clinic LLP | 901 S Koke Mill Rd, Springfield, IL 62711-8012 |
| Amanda L. House | Nurse Practitioner | Springfield Clinic LLP | 800 E Carpenter Rm, 2k20, Springfield, IL 62702-5324 |
| Brenda S Reiling | Physical Therapy | Springfield Clinic LLP | 100 Marion Pkwy, Suite 149, Sherman, IL 62684-9673 |
| Coral Jeanne Armour | Clinical Social Worker | Springfield Clinic LLP | 1280 E Tremont St, Hillsboro, IL 62049-1912 |
| Street Address |
1215 FRANCISCAN DR 2ND FLR |
| City | LITCHFIELD |
| State | IL |
| Zip | 62056-1778 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arvind K. Garg | Nephrology | Springfield Clinic LLP | 1215 Franciscan Dr 2nd Flr, Litchfield, IL 62056-1778 |
| Hui Zhang | Hematology/oncology | Springfield Clinic LLP | 1215 Franciscan Dr 2nd Flr, Litchfield, IL 62056-1778 |
| Archana Nayani | Medical Oncology | Springfield Clinic LLP | 1215 Franciscan Dr 2nd Flr, Litchfield, IL 62056-1778 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brennan Robert Malham | Physician Assistant | Toofan Medical Holdings Ltd | 20 Corvette Dr, Suite A, Litchfield, IL 62056-1038 |
| Brooke Y Trickey | Nurse Practitioner | Springfield Clinic LLP | 1201 E Union Ave, Litchfield, IL 62056-1700 |
| Philip G Siebert | Podiatry | 1215 E Union Ave, Litchfield, IL 62056-1700 | |
| Muhammad A Ansari | Radiation Oncology | Litchfield Oncology Institute Ltd | 1201 E Union Ave, Litchfield, IL 62056-1700 |
| Preet Singh | Medical Oncology | Springfield Clinic LLP | 1201 E Union Ave, Litchfield, IL 62056-1700 |
| Salvatore Conti | Radiation Oncology | Litchfield Oncology Institute Ltd | 1201 E Union Ave, Litchfield, IL 62056-1700 |
| Wallace H Barrett Jr. | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Litchfield Il | 1215 Franciscan Dr, Litchfield, IL 62056-1778 |
| Amy Elaine Fisher | Family Medicine | Litchfield Family Practice Center | 1285 Franciscan Dr, Litchfield, IL 62056-1778 |
| Robert D Kinder | Certified Registered Nurse Anesthetist (crna) | Amsol Anesthetists of Litchfield Il | 1215 Franciscan Dr, Litchfield, IL 62056-1778 |
| Jennifer K Black | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 1215 Franciscan Dr, Litchfield, IL 62056-1778 |
| Find all physicians in zip 62056 | |||
| City | LITCHFIELD |
| Zip Code | 62056 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | LITCHFIELD + HEMATOLOGY/ONCOLOGY |
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| 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.