Sridhar Vallabhaneni (NPI# 1164740122, PAC ID# 9638304314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1164740122 |
| PAC ID by PECOS | 9638304314 |
| Professional Enrollment ID | I20150319000475 |
| Full Name | Sridhar Vallabhaneni |
| Organization Legal Name | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Address |
2450 S Wolf Rd D Westchester IL 60154-5643 |
| Phone Number | 7084837007 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 5294628046 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150126 | FRANCISCAN HEALTH CROWN POINT |
| 150015 | FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY |
| 150002 | METHODIST HOSPITALS INC |
| Address | Phone | Organization |
|---|---|---|
| 11456 S Broadway, Crown Point, IN 46307-7106 | 2194880154 | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| 2450 S Wolf Rd D, Westchester, IL 60154-5643 | 7084837007 | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Marshall Unger | Physical Medicine and Rehabilitation | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Timothy King | Pain Management | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Randolph Y Chang | Pain Management | Advanced Pain and Anesthesia Consultants, PC | 10215 W Roosevelt Rd, Suite A, Westchester, IL 60154-2555 |
| Todd S Hagle | Internal Medicine | Advanced Pain and Anesthesia Consultants, PC | 2740 W Foster Ave, Suite 301, Chicago, IL 60625-3526 |
| Nicole Denise Wilbanks | Nurse Practitioner | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Julie Rowin | Neurology | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Shreyasi Harsh Dalal | Anesthesiology | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Rana F Mafee | Neurology | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Street Address |
2450 S WOLF RD D |
| City | WESTCHESTER |
| State | IL |
| Zip | 60154-5643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette Demarshimun | Clinical Social Worker | 10526 W Cermark Rd, Suite 117, Westchester, IL 60154 | |
| Michael S Farhi | Neurology | 947 S Mannheim Rd, Westchester, IL 60154-2515 | |
| Randolph Y Chang | Pain Management | Advanced Pain and Anesthesia Consultants, PC | 10215 W Roosevelt Rd, Suite A, Westchester, IL 60154-2555 |
| Samir Bhalla | Geriatric Medicine | 10330 W Roosevelt Rd, Suite 200, Westchester, IL 60154-2564 | |
| Mohammad T K Ghani | Allergy/immunology | 10001 W Roosevelt Rd, Suite 304, Westchester, IL 60154-2662 | |
| Livio J Parolin | Podiatry | 10055 W Roosevelt Rd, Westchester, IL 60154-2671 | |
| Kinga A Cachro | Clinical Social Worker | Presence Behavioral Health | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 |
| Sibil R Kuruvilla | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| Cindy S Castro | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| Lorraine C Gade | Clinical Social Worker | Presence Behavioral Health | 9845 W Roosevelt Rd, Procare Centers, Westchester, IL 60154-2758 |
| Find all physicians in zip 60154 | |||
| City | WESTCHESTER |
| Zip Code | 60154 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | WESTCHESTER + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Sridhar Vallabhaneni.
| 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.