DR. ADRIAN M CORDOBA (M.D.) – Diagnostic Radiology Physician, NPI 1942249131
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,123 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for DR. ADRIAN M CORDOBA (M.D.)
2200 Fort Jesse Rd
Suite 280
Normal, IL 617616286
Phone: (309) 452-1788
Fax: (309) 862-1302
Type: Location
611 W PARK ST
FAPC
URBANA, IL 618012500
Phone:
Type: Mailing
1300 FRANKLIN AVE
NORMAL, IL 617613592
Phone: (309) 454-1400
Type: Location
Fort Jesse Road, Normal, McLean County, Illinois, 61761, United States
SUITE 280
NORMAL, IL 617616286
Phone: (309) 452-1788
Fax: (309) 862-1302
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-02-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050218000070 | I | Diagnostic Radiology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 707 | 707 | $0 |
| 77063 | Screening 3d breast mammography | 697 | 697 | $0 |
| 71045 | X-ray of chest, 1 view | 328 | 269 | $0 |
| 71046 | X-ray of chest, 2 views | 177 | 171 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 147 | 147 | $0 |
Insurance plans in this area (ZIP 61761)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| Hospitalist, Family Practice | TX | |
| Clinical Psychologist | IL | |
| Diagnostic Radiology | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | WI |
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