Pooria Javadi, MD - Medicare Diagnostic Radiology in Normal, IL

Pooria Javadi, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Normal, Illinois. He went to Medical College Of Wisconsin and graduated in 2009 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Carle West Physician Group Inc and his current practice location is 2200 Fort Jesse Rd, Ste 280, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 452-1788.

Pooria Javadi is licensed to practice in Illinois (license number 36.141476) 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 1114169893.

Contact Information

Pooria Javadi, MD
2200 Fort Jesse Rd, Ste 280,
Normal, IL 61761-6286
(309) 452-1788
(309) 862-1302



Physician's Profile

Full NamePooria Javadi
GenderMale
SpecialityDiagnostic Radiology
Experience15 Years
Location2200 Fort Jesse Rd, Normal, 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:
  • Pooria Javadi attended and graduated from Medical College Of Wisconsin in 2009
  NPI Data:
  • NPI Number: 1114169893
  • Provider Enumeration Date: 03/27/2009
  • Last Update Date: 02/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2961713623
  • Enrollment ID: I20161021001276

Medical Identifiers

Medical identifiers for Pooria Javadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114169893NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 35.125697 (Ohio)Secondary
2085R0202XRadiology - Diagnostic Radiology 36.141476 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Bromenn Medical CenterNormal, ILHospital
Advocate Eureka HospitalEureka, ILHospital
Saint James HospitalPontiac, ILHospital
Warner Hospital And Health ServicesClinton, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carle West Physician Group Inc8921420308254

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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. Pooria Javadi allows following entities to bill medicare on his behalf.
Entity NameBloomington Radiology S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700831773
PECOS PAC ID: 5092797621
Enrollment ID: O20040607000336

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Entity NameRichland Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467492124
PECOS PAC ID: 3870565732
Enrollment ID: O20040811000131

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Entity NameFt Jesse Imaging Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245287143
PECOS PAC ID: 1951379106
Enrollment ID: O20070117000072

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Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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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. Pooria Javadi 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
Pooria Javadi, MD
2200 Fort Jesse Rd, Ste 280,
Normal, IL 61761-6286

Ph: (309) 452-1788
Pooria Javadi, MD
2200 Fort Jesse Rd, Ste 280,
Normal, IL 61761-6286

Ph: (309) 452-1788

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Radiology Doctors in Normal, IL

Dr. Daniel L Ha, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761
Phone: 309-452-1788    Fax: 309-862-1302
Dr. Ajay R Malpani, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761
Phone: 309-452-1788    Fax: 309-862-1302
Patrick S Fernandes, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 407 E Vernon Ave, Normal, IL 61761
Phone: 309-451-2231    Fax: 309-451-2299
Dr. Carlos P Capati, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761
Phone: 309-452-1788    Fax: 309-862-1302
Dr. David Koch, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761
Phone: 309-452-1788    Fax: 309-862-1302
Amit Vyas, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Fort Jesse Road, Ste. 280, Normal, IL 61761
Phone: 730-945-2178    Fax: 309-862-1302
Dr. Chung H Lee, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761
Phone: 309-452-1788    Fax: 309-862-1302

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