Praveen Kandula, MD - Medicare Nephrology in Springfield, IL

Praveen Kandula, MD is a medicare enrolled "Internal Medicine" physician in Springfield, Illinois. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Barnabas Health Medical Group Pc and his current practice location is 751 N Rutledge St, Ste 1100, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-0182.

Praveen Kandula is licensed to practice in Illinois (license number 036-113938) 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 1912982919.

Contact Information

Praveen Kandula, MD
751 N Rutledge St, Ste 1100,
Springfield, IL 62702-4909
(217) 545-0182
(217) 545-4735

Map and Direction




Physician's Profile

Full NamePraveen Kandula
GenderMale
SpecialityNephrology
Experience26 Years
Location751 N Rutledge St, Springfield, 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:
  • Praveen Kandula graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1912982919
  • Provider Enumeration Date: 12/13/2005
  • Last Update Date: 06/22/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 9739113135
  • Enrollment ID: I20131120001827

Medical Identifiers

Medical identifiers for Praveen Kandula such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912982919NPI-NPPES
036113938MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036-113938 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Barnabas Medical CenterLivingston, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Barnabas Health Medical Group Pc9537316955567

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. Praveen Kandula allows following entities to bill medicare on his behalf.
Entity NameSaint Barnabas Multi Specialty
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780632992
PECOS PAC ID: 3072500727
Enrollment ID: O20040427000024
Entity NameBarnabas Health Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841557246
PECOS PAC ID: 9537316955
Enrollment ID: O20120820000951
Entity NameSbmc Provider Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942748983
PECOS PAC ID: 8729344569
Enrollment ID: O20171109003416

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. Praveen Kandula 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
Praveen Kandula, MD
Po Box 19636,
Springfield, IL 62794-9636

Ph: (217) 545-0182
Praveen Kandula, MD
751 N Rutledge St, Ste 1100,
Springfield, IL 62702-4909

Ph: (217) 545-0182

Reviews and Comments


Internal Medicine Doctors in Springfield, IL

Zachariah Gurnsey, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 751 N Rutledge St, Ste 1100, Springfield, IL 62702
Phone: 217-545-0182    Fax: 217-545-8156
Fadel Ahmed Bofarrag, MD, MPH
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Winston J Townsend, MD
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Phone: 217-789-1403    Fax: 217-789-1825
William R Yu, MD
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Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704
Phone: 217-698-9722    Fax: 217-698-8012
Dr. Susan M. O'neal, D.O.
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Phone: 217-528-7541    
Dr. Mukul Bhattarai, MD.
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Medicare: Accepting Medicare Assignments
Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-545-7877
Nathalie Emma-marie Foray, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 751 N Rutledge St Ste 1700, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-545-1229

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.