Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Amaresh Vydyanathan, MD, MS

Individual provider Anesthesiology Physician · NPI 1336319094

Dr. Amaresh Vydyanathan, MD, MS is an Anesthesiology in Bloomington, Illinois. Graduated from Pennsylvania State University College of Medicine in 2004, 22 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and offers telehealth. Licensed in Illinois and Ohio.

Years since qualifying
22
Trained at
Pennsylvania State University College of Medicine
Licensed in
IL, OH
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1015 S Mercer Ave
Bloomington, IL 61701-7107
Phone: (309) 662-4321
Fax: (309) 661-4532
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 036124700 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 57.009044 (OH)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 036124700 (IL)

Record details

NPI number1336319094
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MS
Sole proprietorYes
NPI enumeratedMarch 8, 2008
Last updated in NPPESSeptember 11, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesPAIN MANAGEMENT
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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