Individual provider Active NPI

Suveer B Tatineni, M.D.

  • Vascular & Interventional Radiology Physician
  • Aurora, IL
National Provider Identifier
1275579401
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036109305 Issued in IL
Practice address
1325 N Highland Ave
Provena Mercy Medical Center/Radiology Department
Aurora, IL 60506-1449
Phone
(630) 859-2222
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 036109305 IL Primary
Diagnostic Radiology Physician 2085R0202X 036109305 IL

Addresses

Primary practice location

1325 N Highland Ave
Provena Mercy Medical Center/Radiology Department
Aurora, IL 60506-1449

Mailing address

520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542

Other practice location 1

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 748-2975

Other identifiers 1

IdentifierTypeStateIssuer
0451514334OtherILBLUESHIELD PROVIDER#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070115000220 IL Practitioner - Diagnostic Radiology 3577563659 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Radiology Consultants - Dekalb LLCGroup PAC ID 8628142106, 16 clinicians
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians
Aurora Radiology Consultants, S.C.Group PAC ID 7517867997, 4 clinicians
Integrated Imaging Consultants LLCGroup PAC ID 2567784408, 163 clinicians
Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 766-7334

105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210

1302 N Main St
Sandwich, IL 60548-2587
Phone (815) 786-8484

1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 801-2756

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036109305ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Oct 1, 2025 Accepting new patients
Aurora Radiology Consultants, S.C. Diagnostic Radiology CurrentSince Jul 24, 2006 Accepting new patients
Riverside Health System Current Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 1, 2022 Accepting new patients
Riverside Health System CurrentSince Sep 19, 2025 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 1, 2022 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Jul 17, 2025 Accepting new patients

Locations

1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700

2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

1870 W Galena Blvd
Aurora, IL 60506
Phone (630) 859-6700

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

Dept 5777
Carol Stream, IL 60122

28594 Network Pl
Chicago, IL 60673

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

1310 N Main St
Ste 1
Sandwich, IL 60548
Phone (815) 786-8470

1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1275579401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486110",
            "telephone_number": "630-874-2542",
            "fax_number": "630-874-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N HIGHLAND AVE",
            "address_2": "PROVENA MERCY MEDICAL CENTER/RADIOLOGY DEPARTMENT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061449",
            "telephone_number": "630-859-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kish Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601159602",
            "country_code": "US",
            "telephone_number": "815-748-2975",
            "fax_number": "815-981-7375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATINENI",
        "first_name": "SUVEER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036109305",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036109305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD PROVIDER#",
            "identifier": "0451514334",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.