| Amit Vyas, MD | |
|
2200 Fort Jesse Road, Ste. 280, Normal, IL 61761-6289 | |
| (730) 945-2178 | |
| (309) 862-1302 |
| Full Name | Amit Vyas |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 2200 Fort Jesse Road, Normal, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063627214 | NPI | - | NPPES |
| 036123244 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301081953 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036.123244 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Advocate Eureka Hospital | Eureka, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richland Memorial Hospital Inc | 3870565732 | 87 |
| Carle West Physician Group Inc | 8921420308 | 275 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Bloomington Radiology S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700831773 PECOS PAC ID: 5092797621 Enrollment ID: O20040607000336 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
| Entity Name | Ft Jesse Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245287143 PECOS PAC ID: 1951379106 Enrollment ID: O20070117000072 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Amit Vyas, MD 2200 Fort Jesse Road, Suite 280, Normal, IL 61761-6289 Ph: (309) 452-1788 | Amit Vyas, MD 2200 Fort Jesse Road, Ste. 280, Normal, IL 61761-6289 Ph: (730) 945-2178 |
Dr. Daniel L Ha, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Dr. Ajay R Malpani, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Patrick S Fernandes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 407 E Vernon Ave, Normal, IL 61761 Phone: 309-451-2231 Fax: 309-451-2299 | |
Dr. Carlos P Capati, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Dr. David Koch, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Nicholas Florence, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |