DR. SREENIVASA BASAVANTHAPPA MD
NPI 1497953871
Ophthalmology - Retina Specialist in Bloomington, IL

Q: What is Sreenivasa Basavanthappa's NPI number?

The NPI number for Sreenivasa Basavanthappa is 1497953871. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Q: What is Sreenivasa Basavanthappa's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Active since July 06, 2007PECOS EnrolledAccepts Medicare Assignment

2501 E COLLEGE AVE STE B, BLOOMINGTON, IL 61704(309) 557-8666(309) 827-8027 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Sreenivasa Basavanthappa Md NPPES

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

DR. SREENIVASA BASAVANTHAPPA MD (NPI 1497953871) is an individual retina specialist in Bloomington, Illinois, licensed in Illinois (03-6163408) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains a secondary practice location in Forsyth.

NPPES Registry Identity

NPI1497953871

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. SREENIVASA BASAVANTHAPPACredential: MD

Location Address2501 E COLLEGE AVE STE BBloomington, IL 61704-2484

Mailing Address1008 N Main StBloomington, IL 61701-1784 · (309) 557-8666 · Fax (309) 661-0545

Phone(309) 557-8666

Fax(309) 827-8027

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJuly 6, 2007

Last NPPES UpdateDecember 28, 2023

NPPES CertifiedDecember 28, 2023

✔ NPI 1497953871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in IL · 03-6163408

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

2501 E COLLEGE AVE STE B, Bloomington, IL 61704

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Secondary Practice Location 1

Location 1322 W Marion AveForsyth, IL 62535-1064 · Phone (217) 872-7404 · Fax (217) 872-7432

Other Identifiers 1

Medicaid110096239AMA

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

Dr. Sreenivasa Basavanthappa Md 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 ID4688863954

PECOS Enrollment IDI20230410001625

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 Sreenivasa Basavanthappa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gailey Eye Clinic, Ltd

3.9 mi

Ophthalmic

1008 N MAIN ST
Bloomington, IL 61701

Reassigned Medicare billing, Illinois enrollment
23 clinicians in this Medicare group

NPI 1932156445 (309) 829-5311

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

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

80,280 services329 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

3,635 services1,036 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

2,706 services671 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,772 services256 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,103 services838 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

693 services29 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

397 services282 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

278 services271 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

277 services121 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

203 services160 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

148 services148 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

31 services24 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

31 services22 patients

Unclassified drugs J3490

Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.

26 services19 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

25 services11 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

19 services17 patients

Hospital Affiliations CMS Care Compare

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140127

Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sreenivasa Basavanthappa's NPI number?

The NPI number for Sreenivasa Basavanthappa is 1497953871. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Sreenivasa Basavanthappa located?

Sreenivasa Basavanthappa practices at 2501 E College Ave Ste B, Bloomington, IL 61704. The listed phone number is (309) 557-8666.

What is Sreenivasa Basavanthappa's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Sreenivasa Basavanthappa enrolled in Medicare?

Yes. Sreenivasa Basavanthappa 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 Sreenivasa Basavanthappa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sreenivasa Basavanthappa reassigns Medicare benefits to Gailey Eye Clinic, Ltd (Bloomington, 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 Sreenivasa Basavanthappa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sreenivasa Basavanthappa affiliated with any hospitals?

According to CMS data, Sreenivasa Basavanthappa is affiliated with Carle Bromenn Medical Center.

When was this NPI record last updated?

The NPPES record for Sreenivasa Basavanthappa was last updated on December 28, 2023. 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.