Surya Teja Chaturvedula (NPI# 1801184767, PAC ID# 5890008148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1801184767 |
| PAC ID by PECOS | 5890008148 |
| Professional Enrollment ID | I20191015002237 |
| Full Name | Surya Teja Chaturvedula |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Address |
112 Ne Crescent Ave Mmg Cardiology Peoria IL 61606-1901 |
| Phone Number | 3096724670 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 1355259714 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140013 | PROCTOR HOSPITAL |
| 140040 | GALESBURG COTTAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 | 3096724670 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 5401 N Knoxville Ave, Peoria, IL 61614-5021 | PROCTOR HEALTH SYSTEMS |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Physicians | 227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari M Hoffman | Nurse Practitioner | Methodist Medical Center of Illinois | 815 Main St A, Peoria, IL 61602-1080 |
| Alanna M Trettin | Physician Assistant | Methodist Medical Center of Illinois | 815 Main St, A, Peoria, IL 61602-1080 |
| Cheryl Herrmann | Certified Clinical Nurse Specialist (cns) | Methodist Medical Center of Illinois | 112 Necrescent Ave, Peoria, IL 61606-1901 |
| Lionel J Malebranche | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 |
| Melanie L Andrews | Family Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636-0001 |
| Anne M Look | Nurse Practitioner | Methodist Medical Center of Illinois | 112 Crescent Ave, Peoria, IL 61611-3257 |
| John K Kula | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Nicholas L Warnecke | Physician Assistant | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Melissa S Terhark | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Robert B Adams | Family Practice | Methodist Medical Center of Illinois | 200 River Rd, East Peoria, IL 61611-2095 |
| Street Address |
112 NE CRESCENT AVE MMG CARDIOLOGY |
| City | PEORIA |
| State | IL |
| Zip | 61606-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lionel J Malebranche | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 |
| Andy C Chiou | Vascular Surgery | Methodist Medical Center of Illinois | 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61603-1901 |
| Subhash J Patel | Interventional Cardiology | Methodist Medical Center of Illinois | 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 |
| John Seccombe | Thoracic Surgery | Methodist Medical Center of Illinois | 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| M Teresa C Fraser | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Maria M Karbowskia Jankowska | Physical Medicine and Rehabilitation | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Gregory M Blume | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Melissa A Glass | Nurse Practitioner | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Vahid Tohidi | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Hrachya Nersesyan | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Christopher M Zallek | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Ruth A Arms | Certified Clinical Nurse Specialist (cns) | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Shanta D Mattai | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Julia Biernot | Neurology | Osf Multi-specialty Group | 100 Nerandolph Ave, Peoria, IL 61606 |
| Find all physicians in zip 61606 | |||
| City | PEORIA |
| Zip Code | 61606 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PEORIA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.