Dr. Sreenivasa Basavanthappa
MD | Retina Specialist | 31+ years Exp
Medicare Enrolled 2501 E College Ave Ste B, Bloomington
Illinois, 61704-2484
309-557-8666 309-827-8027
Maps & DirectionsDr. Sreenivasa Basavanthappa is a Bloomington, Illinois based Retina Specialist with 31 years of experience in Retina Specialist. He completed his graduation from Other in 1995. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Sreenivasa Basavanthappa is 03-6163408 for Retina Specialist in Illinois.
Dr. Sreenivasa Basavanthappa specializes in the diagnosis and treatment of vitreoretinal diseases. This subspecialty includes the medical and surgical management of retinal and vitreous diseases, including retinal detachment, diabetic retinopathy, macular degeneration, and other disorders of the retina and vitreous.
Complete Profile:
Dr. Sreenivasa Basavanthappa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Retina Specialist |
| Credentials: | MD |
| Experience: | 31+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1995 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2501 E College Ave Ste B, Bloomington,
Illinois, 61704-2484 |
| Phone: | 309-557-8666 |
| Fax: | 309-827-8027 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4688863954 |
| Enrollment ID: | I20200513000970 |
| NPI Number: | 1497953871 |
| NPI Enumeration Date: | 06 Jul, 2007 |
| NPI Last Update On: | 28 Dec, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sreenivasa Basavanthappa are as mentioned below.
| License Number | Specialization | State | Status | |
| 03-6163408 | Retina Specialist | Illinois | Primary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Sreenivasa Basavanthappa has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Clemson Eye Pa (4183537764) | 45 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Sreenivasa Basavanthappa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 110096239A | Medicaid | Massachusetts | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1008 N Main St,
Bloomington, Illinois |
| Zip: | 61701-1784 |
| Phone Number: | 309-557-8666 |
| Fax Number: | 309-661-0545 |
Patients can reach Dr. Sreenivasa Basavanthappa at
2501 E College Ave Ste B, Bloomington, Illinois or can
call to book an appointment on 309-557-8666.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Sreenivasa Basavanthappa below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Sreenivasa Basavanthappa. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.