DR. PHANICHARAN ADITYA SISTLA M.D.
NPI 1720427453
Internal Medicine - Interventional Cardiology in Moline, IL

Active since June 15, 2013PECOS EnrolledAccepts Medicare Assignment
1100 36TH AVE, MOLINE, IL 61265(309) 743-6700 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2023, Sep 8, 2023, Aug 6, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Phanicharan Aditya Sistla M.d. NPPES

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

DR. PHANICHARAN ADITYA SISTLA M.D. (NPI 1720427453) is an individual interventional cardiology provider in Moline, Illinois, licensed in Illinois (036.155554) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of University Of Massachusetts Medical School (2013).

NPPES Registry Identity

NPI1720427453
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. PHANICHARAN ADITYA SISTLACredential: M.D.
Location Address1100 36TH AVEMoline, IL 61265-7127
Mailing Address1100 36th AveMoline, IL 61265-7127 · (309) 743-6700
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2013
Enumeration DateJune 15, 2013
Last NPPES UpdateOctober 20, 20235 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
NPI 1720427453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in IL · 036.155554 Licensed in IA · MD-43414
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD-43414 (IA), 255413 (MA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD-43414 (IA)
Also ListedHospitalistTaxonomy 208M00000X · License MD-43414 (IA)
1100 36TH AVE, Moline, IL 61265

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Phanicharan Aditya Sistla M.d. 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 ID9931408234
PECOS Enrollment IDI20160715001136, I20231019000602
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.

Areas of Expertise CMS Part B claims 30

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,375 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,076 services816 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
278 services211 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
236 services201 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
208 services52 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
197 services195 patients

Hospital Affiliations CMS Care Compare 5

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

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140275
Location801 Illini DrSilvis, IL 61282 · Rock Island County
Emergency services Birthing friendly

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Trinity Muscatine

Acute Care Hospitals · Muscatine, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160013
Location1518 Mulberry AvenueMuscatine, IA 52761 · Muscatine County
Emergency services

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160080
Location1410 North 4th StreetClinton, IA 52732 · Clinton County
Emergency services Birthing friendly

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160104
Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61265 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
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 15

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

Nurse Practitioner (Family)
1100 36TH AVE
MOLINE, IL 61265
Nurse Practitioner (Family)
1100 36TH AVE
MOLINE, IL 61265
Nurse Practitioner (Family)
1100 36TH AVE
MOLINE, IL 61265
Nurse Practitioner
1100 36TH AVE
MOLINE, IL 61265
Nurse Practitioner (Gerontology)
1100 36TH AVE
MOLINE, IL 61265
Family Medicine
1100 36TH AVE
MOLINE, IL 61265
Internal Medicine (Clinical Cardiac Electrophysiology)
1100 36TH AVE
MOLINE, IL 61265
Nurse Practitioner (Family)
1100 36TH AVE
MOLINE, IL 61265

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 Phanicharan Sistla's NPI number?

The NPI number for Phanicharan Sistla is 1720427453. It was assigned to this individual provider in the NPPES registry on June 15, 2013.

Where is Phanicharan Sistla located?

Phanicharan Sistla practices at 1100 36th Ave, Moline, IL 61265. The listed phone number is (309) 743-6700.

What is Phanicharan Sistla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Phanicharan Sistla enrolled in Medicare?

Yes. Phanicharan Sistla 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.

What insurance does Phanicharan Sistla accept?

Health plans from Medica and Oscar Insurance Company list Phanicharan Sistla 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 Phanicharan Sistla affiliated with any hospitals?

According to CMS data, Phanicharan Sistla is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini, Trinity Rock Island, Trinity Muscatine, Mercyone Clinton Medical Center and Trinity - Bettendorf.

When was this NPI record last updated?

The NPPES record for Phanicharan Sistla was last updated on October 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.