Babu Rao Eladasari, MD,FACP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036091905 Issued in IL

Practice address

559 N Westgate Ave
Jacksonville, IL 62650-1156

Phone

(217) 243-5474

Fax

(217) 245-2322

NPI assigned

May 17, 2006

Last updated

Oct 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Babu Rao Eladasari Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Board of Trustees of Southern Illinois University

  dba Siu Center for Family Medicine

  • Primary Care Clinic/Center
  • Springfield, IL
  • NPI 1396097960
  NPD
• San Pablo Medical Center, LTD.

  dba North Avenue Physicians Center, Division Physicians Center

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1548323330
  NPD (past)
• Georgia Inpatient Medicine Associates, LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1558314112
  NPD (past)
• Valley Medical Clinic PC

  • Pain Medicine (Anesthesiology) Physician
  • Fargo, ND
  • NPI 1164537569
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1356393300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 N WESTGATE AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501156",
            "telephone_number": "217-243-5474",
            "fax_number": "217-245-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 N WESTGATE AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501156",
            "telephone_number": "217-243-5474",
            "fax_number": "217-245-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELADASARI",
        "first_name": "BABU",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "MD,FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036091905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BABU",
            "last_name": "ELADASARI",
            "middle_name": "RAO",
            "prefix": "DR.",
            "credential": "MD, FACP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hallie Draughan, RBT
• Michael Ross Dunseth, CRNA
• Ward Richard Dunseth II, CRNA
• Dva Renal Healthcare Inc (Jacksonville Dialysis)
• Kathy Moore Dyson, LCPC
• Eldon G Barrowes DDS & Assoc PC (Eldon Barrowes DDS)
• Elm City Rehabilitation Center, Inc. (Elm City Center)
• Elm City Rehabilitation Center, Inc. (Elm City Center)
• Elm City Rehabilitation Center, Inc. (Elm City Center)
• Elm City Rehabilitation Center, Inc.

• Internal Medicine Physician in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.