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GEORGE GENTRY NPI 1225016975


NPI Information

NPI: 1225016975
Provider Name: GEORGE GENTRY
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
5409 N KNOXVILLE AVE
PEORIA, IL
ZIP 61615
Phone: (309) 682-7750
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George Gentry is a diagnostic radiology radiology in Peoria, IL with 40 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. George Gentry NPI is 1225016975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduation Year:1984

The provider's business location address is:

5409 N KNOXVILLE AVE
PEORIA, IL
ZIP 61615
Phone: (309) 682-7750
Fax: (309) 682-7786

The NPI 1225016975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan chest (HCPCS:71250)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 1/4/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036080941-1MEDICAIDILLINOIS
21005156OTHERILLINOISACR
3264400MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4211015OTHERILLINOISHEALTHLINK
5054573OTHERILLINOISHEALTH ALLIANCE
60007222342OTHERILLINOISBLUE CROSS BLUE SHIELD
7IL0100OTHERILLINOISJOHN DEERE
8E54303MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.