OrganizationActive
Primary Care Specialists, LLC
NPI 1154556843 · Geriatric Medicine (Internal Medicine) Physician · Bloomington, IL
Provider details
- NPI number
- 1154556843
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Srivalli Vegi, Owner(636) 579-6778
- License
- 036121501 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2 Airline Dr
Suite 500
Bloomington, IL 61704-3433
Phone: (636) 579-6778
Street-level locationGet directions
Mailing address
2 Airline Dr
Bloomington, IL 61704-3433
Registry dates
- Enumerated
- 2009-05-25
- Last updated
- 2010-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.