| Behfar Dianati, MD | |
|
4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | |
| (618) 257-6200 | |
| (618) 257-6679 |
| Full Name | Behfar Dianati |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 4550 Memorial Dr, Belleville, 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 |
|---|---|---|---|
| 1558580852 | NPI | - | NPPES |
| 036124202 | Other | IL | STATE LICENSE |
| 1558580852 | Medicaid | IL | |
| 207340605 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036124202 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036124202 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 2007018749 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bjc Hospice | Alton, IL | Hospice |
| Osf Saint Anthony's Health Center | Alton, IL | Hospital |
| Alton Memorial Hospital | Alton, IL | Hospital |
| River Crossing Of Alton | Alton, IL | Nursing home |
| Alton Memorial Rehab & Therapy | Alton, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America-illinois Hospitalists, Llp | 3274765904 | 132 |
| Cep America - Illinois Snf Llp | 8022306737 | 8 |
| Entity Name | Cep America-illinois Hospitalists, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
| Entity Name | Cep America Illinois Intensivists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821641499 PECOS PAC ID: 0345535449 Enrollment ID: O20160829002157 |
| Entity Name | Cep America - Illinois Snf Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073069415 PECOS PAC ID: 8022306737 Enrollment ID: O20161012002933 |
| Mailing Address | Practice Location Address |
|---|---|
| Behfar Dianati, MD 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 Ph: (618) 257-6200 | Behfar Dianati, MD 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 Ph: (618) 257-6200 |
Bushra Shaukat, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679 | |
Dr. Leopoldo S. Pardo Iii, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1667 Golf Course Dr, Belleville, IL 62220 Phone: 618-257-8017 Fax: 618-257-8017 | |
Dr. Linus Uchechukwu Anukwu, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679 | |
Kevin K Pham, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Douglas Anthony Kruse, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Ahsan Usman, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Dany Jose Saturno Arias, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 |