| Chandra Kanth Chaturvedula, | |
|
200 Professional Plz, Mattoon, IL 61938-9280 | |
| (309) 676-8123 | |
| (309) 676-8455 |
| Full Name | Chandra Kanth Chaturvedula |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 13 Years |
| Location | 200 Professional Plz, Mattoon, 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 |
|---|---|---|---|
| 1215311683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036146437 (Illinois) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 036.146437 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita - Mattoon Dialysis | Charleston, IL | Dialysis facility |
| Davita - Effingham Dialysis | Effingham, IL | Dialysis facility |
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Osf Heart Of Mary Medical Center | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Sarah Bush Lincoln Health Center | 5092614867 | 359 |
| Renalcare Associates, S.c. | 7012818347 | 45 |
| Entity Name | Sarah Bush Lincoln Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
| Entity Name | Renalcare Associates, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649300377 PECOS PAC ID: 7012818347 Enrollment ID: O20040119000524 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Chandra Kanth Chaturvedula, 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3112 Ph: (309) 624-9259 | Chandra Kanth Chaturvedula, 200 Professional Plz, Mattoon, IL 61938-9280 Ph: (309) 676-8123 |
Julian Vassay, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Plaza, Mattoon, IL 61938 Phone: 217-258-2110 Fax: 217-238-3434 | |
Kiran Joag, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 200 Richmond Ave E, Mattoon, IL 61938 Phone: 217-234-7400 Fax: 217-234-7011 | |
Dr. Alexis Ayonote, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-4155 | |
Dr. Sathya Subbiah, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 200 Richmond Ave E Ste 3, Mattoon, IL 61938 Phone: 217-234-7000 Fax: 217-234-2060 | |
Ashley J Smith Nunez, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4960 Fax: 217-238-4951 | |
Gurnoor Kaur Rathore, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 Fax: 217-348-4290 | |
Dr. Ali Hassan Ali Warda, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 101, Mattoon, IL 61938 Phone: 217-258-4158 Fax: 217-258-2519 |