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LAVANYA KOLLURI M.D.
NPI 1043255144
Internal Medicine in Springfield, IL

Active since June 20, 2006PECOS Enrolled
3132 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704(217) 862-0062(217) 862-0064 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2019, Mar 17, 2018, Jun 12, 2017 and 1 more (4 updates tracked since 2017).

About Lavanya Kolluri M.d. NPPES

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

LAVANYA KOLLURI M.D. (NPI 1043255144) is an individual internal medicine provider in Springfield, Illinois, licensed in Indiana (01064136A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043255144
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAVANYA KOLLURICredential: M.D.
Location Address3132 OLD JACKSONVILLE RDSpringfield, IL 62704-7400
Mailing Address3132 Old Jacksonville RdSpringfield, IL 62704-7401 · (217) 862-0062 · Fax (217) 862-0064
Phone(217) 862-0062
Fax(217) 862-0064
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateJune 19, 20194 updates tracked since enumeration
✔ NPI 1043255144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IN · 01064136A✔ Licensed in IL · 036115509
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3132 OLD JACKSONVILLE RD, Springfield, IL 62704
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Other Identifiers 2

Medicaid300001136IN
Other266180960IN · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lavanya Kolluri M.d. 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.

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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

ALISSA DANIELLE SMITH NP
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
MELANIE R REYNOLDS FNP
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0730
MRS. SHARON MARIE HOWARTH OTRLCHT
Occupational Therapist (Hand)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
PEGGY JONES NP
Nurse Practitioner
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0871
MS. MELISSA S LINDERMAN OTR
Occupational Therapist
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
MEMORIAL PHYSICIAN SERVICES
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
DR. REBECCA D ANDERSON PHD
Psychologist (Clinical)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
DR. STEVEN R BOWERS M.D.
Pediatrics
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0806

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 Lavanya Kolluri's NPI number?

The NPI number for Lavanya Kolluri is 1043255144. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Lavanya Kolluri located?

Lavanya Kolluri practices at 3132 Old Jacksonville Rd, Springfield, IL 62704. The listed phone number is (217) 862-0062.

What is Lavanya Kolluri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lavanya Kolluri enrolled in Medicare?

Yes. Lavanya Kolluri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lavanya Kolluri was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.