Dr Kalyana Poruri, MD - Medicare Diagnostic Radiology in Geneva, IL

Dr Kalyana Poruri, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Geneva, Illinois. He went to Temple University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Subspecialists Of Northern Illinois Llc and his current practice location is 300 Randall Rd, Geneva, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 208-3000.

Dr Kalyana Poruri is licensed to practice in Illinois (license number 036104591) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548365026.

Contact Information

Dr Kalyana Poruri, MD
300 Randall Rd,
Geneva, IL 60134-4200
(630) 208-3000
Not Available



Physician's Profile

Full NameDr Kalyana Poruri
GenderMale
SpecialityDiagnostic Radiology
Experience29 Years
Location300 Randall Rd, Geneva, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kalyana Poruri attended and graduated from Temple University School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1548365026
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 02/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4789600115
  • Enrollment ID: I20100607000920

Medical Identifiers

Medical identifiers for Dr Kalyana Poruri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548365026NPI-NPPES
04515240OtherILBLUE CROSS PROVIDER ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 036104591 (Illinois)Secondary
2085N0904XRadiology - Nuclear Radiology 036104591 (Illinois)Secondary
2085P0229XRadiology - Pediatric Radiology 036104591 (Illinois)Secondary
2085R0001XRadiology - Radiation Oncology 036104591 (Illinois)Secondary
2085R0202XRadiology - Diagnostic Radiology 036104591 (Illinois)Primary
2085R0203XRadiology - Therapeutic Radiology 036104591 (Illinois)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 036104591 (Illinois)Secondary
2085U0001XRadiology - Diagnostic Ultrasound 036104591 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Delnor Community HospitalGeneva, ILHospital
Central Dupage HospitalWinfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Subspecialists Of Northern Illinois Llc226471792530

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kalyana Poruri allows following entities to bill medicare on his behalf.
Entity NameRadiology Subspecialists Of Northern Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104378942
PECOS PAC ID: 2264717925
Enrollment ID: O20170320000767

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kalyana Poruri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kalyana Poruri, MD
825 W State St, Suite 103e,
Geneva, IL 60134-2080

Ph: (630) 208-4412
Dr Kalyana Poruri, MD
300 Randall Rd,
Geneva, IL 60134-4200

Ph: (630) 208-3000

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Radiology Doctors in Geneva, IL

Dr. Neelima D Kabre, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 304 Randall Rd, Geneva, IL 60134
Phone: 630-262-8554    Fax: 630-208-7363
Kiran Viswanath Talanki, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Randall Rd, Delnor Hospital, Dept Of Radiology, Geneva, IL 60134
Phone: 630-938-4412    
Patrick Francis Para, DO
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1416c S Randall Rd, Randall Square Shopping Center, Geneva, IL 60134
Phone: 630-208-9325    Fax: 630-208-9326
Kenneth P Sullivan, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 1416c South Randall Road, Randall Square Shopping Center, Geneva, IL 60134
Phone: 630-208-9325    Fax: 630-208-9326
Dr. Sidney Jain, M.D
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 825 W State St Ste 103e, Geneva, IL 60134
Phone: 630-208-4412    
Dr. Michael A Stutz, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 304 Randall Rd, Geneva, IL 60134
Phone: 630-262-8554    Fax: 630-208-7363

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