Dr Kalugotla N Shivaram, MD in Wentzville, MO

Dr Kalugotla N Shivaram, MD is a medicare enrolled "Emergency Medicine" physician in Wentzville, Missouri. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Emergency Physicians Of Memphis Llc, Alton-griffin Emergency Group Pc, Potosi Emergency Group, Llc, Southeastern Emergency Physicians Of Memphis Llc and his current practice location is 1111 W Pearce Blvd, Wentzville, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 887-4288.

Dr Kalugotla N Shivaram is licensed to practice in Missouri (license number 111383) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619959137.

Contact Information

	Dr Kalugotla N Shivaram, MD
	1111 W Pearce Blvd, Wentzville, MO 63385-1020
	(636) 887-4288
	(636) 639-2368

Map and Direction

Physician's Profile

Full Name	Dr Kalugotla N Shivaram
Gender	Male
Speciality	Emergency Medicine
Experience	35 Years
Location	1111 W Pearce Blvd, Wentzville, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kalugotla N Shivaram graduated from medical school in 1989

NPI Data:

NPI Number: 1619959137
Provider Enumeration Date: 11/18/2005
Last Update Date: 10/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6103850797
Enrollment ID: I20051005001009

Medical Identifiers

Medical identifiers for Dr Kalugotla N Shivaram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619959137	NPI	-	NPPES
207245606	Medicaid	MO
036086751	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036086751 (Illinois)	Secondary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	111383 (Missouri)	Secondary
207P00000X	Emergency Medicine	111383 (Missouri)	Primary
208000000X	Pediatrics	111383 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Osf Saint Anthony's Health Center	Alton, IL	Hospital
Madison Medical Center	Fredericktown, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Emergency Physicians Of Memphis Llc	5395643209	82
Alton-griffin Emergency Group Pc	7315167103	11
Potosi Emergency Group, Llc	0648588541	10
Southeastern Emergency Physicians Of Memphis Llc	5395643209	82

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kalugotla N Shivaram allows following entities to bill medicare on his behalf.

Entity Name	Alton-griffin Emergency Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891104824 PECOS PAC ID: 7315167103 Enrollment ID: O20140929002428

Entity Name	Southeastern Emergency Physicians Of Memphis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20150520001245

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kalugotla N Shivaram is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kalugotla N Shivaram, MD 842 Bellerive Manor Dr, Creve Coeur, MO 63141-3201 Ph: (636) 887-4288	Dr Kalugotla N Shivaram, MD 1111 W Pearce Blvd, Wentzville, MO 63385-1020 Ph: (636) 887-4288

Reviews and Comments

Emergency Medicine Doctors in Wentzville, MO

Nancy E Noel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Medical Dr, Wentzville, MO 63385 Phone: 636-327-1000
Dr. Desh V Anand, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 W. Pearce Blvd., Wentzville, MO 63385 Phone: 636-887-4288 Fax: 636-639-2368
Dr. Sivasankara R Konala, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-887-4288 Fax: 636-639-2368
Kerry E Florence, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Medical Dr, Wentzville, MO 63385 Phone: 636-327-1100
Dr. Sudheer C Atluri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 W. Pearce Blvd., Wentzville, MO 63385 Phone: 636-887-4288 Fax: 636-639-2368
Andrew Thomas Gelven, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385 Phone: 636-332-8455

Dr Kalugotla N Shivaram, MD - Medicare Emergency Medicine in Wentzville, MO