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GOPINATHAN GANGADHARAN NAMBIAR
NPI 1013395250
Pediatrics in Springfield, IL

Active since May 07, 2015PECOS Enrolled
2901 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704(217) 698-9722(217) 391-0392 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gopinathan Gangadharan Nambiar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOPINATHAN GANGADHARAN NAMBIAR (NPI 1013395250) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (036142874) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1013395250
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGOPINATHAN GANGADHARAN NAMBIAR
Location Address2901 OLD JACKSONVILLE RDSpringfield, IL 62704-7437
Mailing Address2901 Old Jacksonville RdSpringfield, IL 62704-7437 · (217) 698-9722 · Fax (217) 391-0392
Phone(217) 698-9722
Fax(217) 391-0392
Sole ProprietorNo
Enumeration DateMay 7, 2015
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1013395250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036142874✔ Licensed in TN · 64787
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License 64787 (TN)
2901 OLD JACKSONVILLE RD, Springfield, IL 62704
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Secondary Practice Location 1

Location 1408 N State Of Franklin Rd Ste 400EJohnson City, TN 37604-6089 · Phone (423) 431-4946

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gopinathan Gangadharan Nambiar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gopinathan Gangadharan Nambiar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Medical Management Corporation
433 mi
Obstetrics & Gynecology
900 W MAIN ST, HEALTH LINK OF ROGERSVILLE
Rogersville, TN 37857
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1134139017 (423) 272-0542

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM R YU MD
Internal Medicine
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 698-9722
PAVILION PHARMACY WEST
Pharmacist
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 698-3888
SUZANNE FLATLEY MORPHEW CFNP
Nurse Practitioner
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 698-9722
INGRID I ALEXANDER MD
Allergy & Immunology
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 698-9722
JOHN H FAHEY M.D.
Preventive Medicine (Occupational Medicine)
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 546-0512
ABDUR RAHMON NAWOOR M.D.
Internal Medicine
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 698-6722
MARESA MCKRAKEN RN
Registered Nurse (Continuing Education/Staff Development)
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 698-9722
PHYSICIANS GROUP ASSOCIATES S C
Internal Medicine
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 698-9722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gopinathan Gangadharan Nambiar's NPI number?

The NPI number for Gopinathan Gangadharan Nambiar is 1013395250. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Gopinathan Gangadharan Nambiar located?

Gopinathan Gangadharan Nambiar practices at 2901 Old Jacksonville Rd, Springfield, IL 62704. The listed phone number is (217) 698-9722.

What is Gopinathan Gangadharan Nambiar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gopinathan Gangadharan Nambiar enrolled in Medicare?

Yes. Gopinathan Gangadharan Nambiar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gopinathan Gangadharan Nambiar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gopinathan Gangadharan Nambiar reassigns Medicare benefits to Blue Ridge Medical Management Corporation (Rogersville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gopinathan Gangadharan Nambiar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gopinathan Gangadharan Nambiar accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Gopinathan Gangadharan Nambiar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gopinathan Gangadharan Nambiar was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.