Dr Madhu Kalyan Pendurthi, MBBS MPH, MD in Springfield, MO

Dr Madhu Kalyan Pendurthi, MBBS MPH, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Springfield, Missouri. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is 1229 E Seminole St, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 888-5696.

Dr Madhu Kalyan Pendurthi is licensed to practice in Missouri (license number 2016039967) 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 1750661286.

Contact Information

	Dr Madhu Kalyan Pendurthi, MBBS MPH, MD
	1229 E Seminole St, Springfield, MO 65804-2227
	(417) 888-5696
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Madhu Kalyan Pendurthi
Gender	Male
Speciality	Pulmonary Disease
Experience	17 Years
Location	1229 E Seminole St, Springfield, 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 Madhu Kalyan Pendurthi graduated from medical school in 2007

NPI Data:

NPI Number: 1750661286
Provider Enumeration Date: 08/29/2011
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8820366560
Enrollment ID: I20170621000682

Medical Identifiers

Medical identifiers for Dr Madhu Kalyan Pendurthi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750661286	NPI	-	NPPES
PENDING	Medicaid	MO
PENDING	Medicaid	OK
PENDING	Medicaid	AR
PENDING	Other	MO	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	6620 (Nebraska)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	2016039967 (Missouri)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	BP10048662 (Texas)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	BP10048662 (Texas)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	2016039967 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Springfield	Springfield, MO	Hospital
Mercy Hospital Lebanon	Lebanon, MO	Hospital
Citizens Memorial Hospital	Bolivar, MO	Hospital
Mercy Hospital - Aurora	Aurora, MO	Hospital
Mercy Hospital Joplin	Joplin, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Springfield Communities	7416865845	933

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 Madhu Kalyan Pendurthi allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

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 Madhu Kalyan Pendurthi 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 Madhu Kalyan Pendurthi, MBBS MPH, MD Po Box 505164, Saint Louis, MO 63150-5164 Ph: (855) 420-7900	Dr Madhu Kalyan Pendurthi, MBBS MPH, MD 1229 E Seminole St, Springfield, MO 65804-2227 Ph: (417) 888-5696

Reviews and Comments

Internal Medicine Doctors in Springfield, MO

Dr. Mark H. Grimm, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711
Dr. Sridevi Durga, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295
Bradley D Wiley, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051
Walter S. Trombold, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778
Ghulam Jeelani Siddiqui, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220
Danny R Penick, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000
Dr. Anne Marsh Egbert, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001

Dr Madhu Kalyan Pendurthi, MBBS MPH, MD - Medicare Pulmonary Disease in Springfield, MO