| Vinoda Shanthappa, MD | |
|
Methodist Medical Ctr, 221.ne Glen Oak Ave, Peoria, IL 61636-0002 | |
| (309) 672-5729 | |
| (309) 672-5772 |
| Full Name | Vinoda Shanthappa |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | Methodist Medical Ctr, Peoria, 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 |
|---|---|---|---|
| 1518986512 | NPI | - | NPPES |
| 3711361916002 | Medicaid | IL | |
| 036114697 | Other | IL | IL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36114697 (Illinois) | Primary |
| 208M00000X | Hospitalist | 036114697 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Pekin Memorial Hospital | Pekin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Entity Name | Pekin Prohealth Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20040512000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Vinoda Shanthappa, MD Methodist Medical Ctr, 221.ne Glen Oak Ave, Peoria, IL 61636-0002 Ph: (309) 672-5729 | Vinoda Shanthappa, MD Methodist Medical Ctr, 221.ne Glen Oak Ave, Peoria, IL 61636-0002 Ph: (309) 672-5729 |
Riaz Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729 | |
Dr. James Daniel Dewar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257 | |
Waqas Ali, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Dr. Sudhir Mungee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830 | |
Kumarpal Shrishrimal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603 Phone: 309-676-8123 Fax: 309-676-8455 | |
Dr. Nikesh Kavi Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732 | |
Christine C Perks, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 N Knoxville Ave, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-692-4730 |