Look up the most recent NPI and PECOS records

Shravika Talla

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Shravika Talla is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1790531465
Provider Type
Individual
Full Name
Talla, Shravika
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/24/2024
Last Updated
6/25/2025

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(888) 584-7888

Unlisted Fax

Mailing Location

2160 S 1st Ave, Maywood, IL 60153-3328

(888) 584-7888

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 125.085129 Illinois

Shravika Talla

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Budorick, Nancy

Gabriel, Mehdat

Gjeluci, Albert

Cooper, Richard

Fu, John

Ivanova, Milena

Fang, Melissa Jiayu

Rajpoot, Ravi

Lowery, Emily Diane

Thapa, Nihal