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

Dr. Kalyan Tatineny, MD

Individual provider Diagnostic Radiology Physician · NPI 1265751150

Dr. Kalyan Tatineny, MD is a Diagnostic Radiology in Peoria, Illinois. Graduated from University of Missouri, Kansas City, School of Medicine in 2005, 21 years ago. Practices with Cira Michigan PC, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Illinois and Nevada.

Years since qualifying
21
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
GA, IL, NV
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-1872
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118-1872 — (702) 477-0772

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036-164339 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 14773 (NV)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 68321 (GA)

Record details

NPI number1265751150
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2010
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Cira Michigan Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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