Dr. Sreenivasa Basavanthappa, MD
Dr. Sreenivasa Basavanthappa is a Retina Specialist (Ophthalmology) Physician provider (Ophthalmology) practicing in Bloomington, IL, registered in the NPPES registry with NPI 1497953871 since 2007. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497953871 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Sreenivasa Basavanthappa |
| Credential | MD |
| Sex | Male |
| Practice address | 2501 E COLLEGE AVE STE B, Bloomington, IL, 61704 |
| Phone | 3095578666 |
| Fax | 3098278027 |
| Enumeration date | 2007-07-06 |
| Last updated in NPPES | 2023-12-28 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | Primary | 03-6163408 | IL |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110096239A | Medicaid | MA | — |
Copy-ready billing details
Provider: Sreenivasa Basavanthappa, MD NPI: 1497953871 Taxonomy: 207WX0107X (Retina Specialist (Ophthalmology) Physician) Address: 2501 E COLLEGE AVE STE B, Bloomington, IL, 61704
Verify this record
Cross-check NPI 1497953871 against the authoritative CMS record: view Dr. Sreenivasa Basavanthappa on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-12-28.