Nishanth Vallumsetla, - Medicare Pulmonary Disease in Urbana, IL

Nishanth Vallumsetla, is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Urbana, Illinois. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Osf Multi-specialty Group and his current practice location is 1405 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (507) 284-2511.

Nishanth Vallumsetla is licensed to practice in Illinois (license number 0.36159074) 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 1134589799.

Contact Information

Nishanth Vallumsetla,
1405 W Park St,
Urbana, IL 61801-2367
(507) 284-2511
Not Available

Map and Direction




Physician's Profile

Full NameNishanth Vallumsetla
GenderMale
SpecialityPulmonary Disease
Experience13 Years
Location1405 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nishanth Vallumsetla graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1134589799
  • Provider Enumeration Date: 02/25/2016
  • Last Update Date: 08/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911387964
  • Enrollment ID: I20220707002941

Medical Identifiers

Medical identifiers for Nishanth Vallumsetla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134589799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 0.36159074 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osf Heart Of Mary Medical CenterUrbana, ILHospital
Osf Sacred Heart Medical CenterDanville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891552

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. Nishanth Vallumsetla allows following entities to bill medicare on his behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Nishanth Vallumsetla 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 AddressPractice Location Address
Nishanth Vallumsetla,
200 1st St Sw,
Rochester, MN 55905-0001

Ph: () -
Nishanth Vallumsetla,
1405 W Park St,
Urbana, IL 61801-2367

Ph: (507) 284-2511

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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