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

Dr. Phanicharan Aditya Sistla, MD

Individual provider Internal Medicine Physician · NPI 1720427453

Dr. Phanicharan Aditya Sistla, MD is an Interventional Cardiology in Moline, Illinois. Graduated from University of Massachusetts Medical School in 2013, 13 years ago. Practices with Cardiovascular Medicine PLLC, a 50-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Iowa, Illinois and Massachusetts.

Years since qualifying
13
Trained at
University of Massachusetts Medical School
Licensed in
IA, IL, MA
In the registry since
2013
Specialties on file
6
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

1100 36th Ave
Moline, IL 61265-7127
Phone: (309) 743-6700
Show map & directions

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

Additional practice locations (2)

  • 200 Hawkins Dr Dept Of, Iowa City, IA 52242 — (319) 467-2000
  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (708) 216-5911

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 036.155554 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD-43414 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 255413 (MA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD-43414 (IA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence MD-43414 (IA)
Hospitalist Physician Taxonomy 208M00000X · Licence MD-43414 (IA)

Record details

NPI number1720427453
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2013
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice Cardiovascular Medicine Pllc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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