| Dr Surekha Boddipalli, MD | |
|
1120 N Melvin St, Gibson City, IL 60936-1477 | |
| (217) 784-2332 | |
| (217) 680-0005 |
| Full Name | Dr Surekha Boddipalli |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 17 Years |
| Location | 1120 N Melvin St, Gibson City, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255656948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 036140535 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gibson Community Hospital | Gibson city, IL | Hospital |
| Macneal Hospital | Berwyn, IL | Hospital |
| Loyola University Medical Center | Maywood, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gibson Community Hospital Association | 5092703124 | 156 |
| Entity Name | Dupage Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Loyola Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Surekha Boddipalli, MD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-2000 | Dr Surekha Boddipalli, MD 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-2332 |
Dr. Subbiah Rajaguru, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1120 N Melvin St, Gibson City, IL 60936 Phone: 217-784-2273 | |
Neil R Nelson, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 8 Doctors Park, Gibson City, IL 60936 Phone: 217-784-8580 Fax: 217-784-8586 | |
Dr. Ismail Bobat, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7 Doctors Park, Gibson City, IL 60936 Phone: 217-784-5515 Fax: 217-680-0016 | |
Dr. Omar Geada, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4086 |