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PRAVEENA TATHINENI DO
NPI 1386131720
Internal Medicine - Hematology & Oncology in Naperville, IL

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment
120 SPALDING DR STE 308, NAPERVILLE, IL 60540(630) 646-2273 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2024, Jun 21, 2021, Apr 7, 2021 and 3 more (6 updates tracked since 2018).

About Praveena Tathineni Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAVEENA TATHINENI DO (NPI 1386131720) is an individual hematology & oncology provider in Naperville, Illinois, licensed in Illinois (036.156225) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386131720
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NamePRAVEENA TATHINENICredential: DO
Location Address120 SPALDING DR STE 308Naperville, IL 60540-6521
Mailing Address233 E 13th St Apt 2103Chicago, IL 60605-3260 · (718) 213-8917
Phone(630) 646-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 20, 2018
Last NPPES UpdateJune 17, 20246 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1386131720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IL · 036.156225
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 1386131720 (IL)
120 SPALDING DR STE 308, Naperville, IL 60540
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Praveena Tathineni Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385990753
PECOS Enrollment IDI20240701001586
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Praveena Tathineni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
32 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALI SHAIBANI MD
Radiology (Diagnostic Radiology)
120 SPALDING DR STE 308
NAPERVILLE, IL 60540
Dupage County (312) 695-9797
ALEXA ARROYO PA-C
Physician Assistant (Surgical)
120 SPALDING DR STE 308
NAPERVILLE, IL 60540
Dupage County (630) 527-7730
CHRISTINE M HOPKINS APN-CNP
Nurse Practitioner
120 SPALDING DR STE 308
NAPERVILLE, IL 60540
Dupage County (630) 527-7730
DAN SEARS PA-C
Physician Assistant
120 SPALDING DR STE 308
NAPERVILLE, IL 60540
Dupage County (630) 527-7730
DR. ELIZABETH ANNE CALLAHAN DO
Physical Medicine & Rehabilitation
120 SPALDING DR STE 308
NAPERVILLE, IL 60540
Dupage County (630) 527-7730
DR. DHRUVIL J PANDYA MD
Psychiatry & Neurology (Vascular Neurology)
120 SPALDING DR STE 308
NAPERVILLE, IL 60540
Dupage County (630) 527-7730
DR. GUSTAVO CHAGOYA GAZCON M.D.
Neurological Surgery
120 SPALDING DR STE 308
NAPERVILLE, IL 60540
Dupage County (630) 527-7730
DR. AHMED N HASSAN MD
Psychiatry & Neurology (Neurology)
120 SPALDING DR STE 308
NAPERVILLE, IL 60540
Dupage County (630) 527-7730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Praveena Tathineni's NPI number?

The NPI number for Praveena Tathineni is 1386131720. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Praveena Tathineni located?

Praveena Tathineni practices at 120 Spalding Dr Ste 308, Naperville, IL 60540. The listed phone number is (630) 646-2273.

What is Praveena Tathineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Praveena Tathineni enrolled in Medicare?

Yes. Praveena Tathineni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Praveena Tathineni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praveena Tathineni reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Praveena Tathineni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Praveena Tathineni accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Praveena Tathineni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Praveena Tathineni affiliated with any hospitals?

According to CMS data, Praveena Tathineni is affiliated with Swedish Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Praveena Tathineni was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.