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NENITA MAGANTI MD
NPI 1841664679
Ophthalmology in Bloomington, IL

Active since November 17, 2015PECOS EnrolledAccepts Medicare Assignment
1107 AIRPORT RD, BLOOMINGTON, IL 61704(309) 662-7700 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Jul 3, 2021, Aug 29, 2018 and 1 more (4 updates tracked since 2015).

About Nenita Maganti Md NPPES

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

NENITA MAGANTI MD (NPI 1841664679) is an individual ophthalmology provider in Bloomington, Illinois, licensed in Illinois (036169395) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1841664679
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameNENITA MAGANTICredential: MD
Location Address1107 AIRPORT RDBloomington, IL 61704-2544
Mailing Address1107 Airport RdBloomington, IL 61704-2544 · (309) 662-7700
Phone(309) 662-7700
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2020
Enumeration DateNovember 17, 2015
Last NPPES UpdateSeptember 16, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1841664679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 036169395
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1107 AIRPORT RD, Bloomington, IL 61704
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 Highland AveMadison, WI 53792-0001 · Phone (608) 263-0572

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Nenita Maganti 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 ID648693655
PECOS Enrollment IDI20240819001217
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 6

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.

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.
40 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services39 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.
37 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · 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.

Other Providers at the Same Location NPPES 2

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

THOMAS L MAHAFFEY OD
Optometrist
1107 AIRPORT RD
BLOOMINGTON, IL 61704
McLean County (309) 662-3937
CHINTAN A PATHAK MD
Ophthalmology
1107 AIRPORT RD
BLOOMINGTON, IL 61704
McLean County (309) 662-7700

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 Nenita Maganti's NPI number?

The NPI number for Nenita Maganti is 1841664679. It was assigned to this individual provider in the NPPES registry on November 17, 2015.

Where is Nenita Maganti located?

Nenita Maganti practices at 1107 Airport Rd, Bloomington, IL 61704. The listed phone number is (309) 662-7700.

What is Nenita Maganti's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nenita Maganti enrolled in Medicare?

Yes. Nenita Maganti 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 Nenita Maganti accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Nenita Maganti 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 Nenita Maganti affiliated with any hospitals?

According to CMS data, Nenita Maganti is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Nenita Maganti was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.