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MS. KEERTHANA PALANIAPPA SIVAKOLUNDU M.D
NPI 1053055459
Internal Medicine in Peoria, IL

Active since April 22, 2022PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2730(309) 655-3297 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2022, Apr 22, 2022 (2 updates tracked since 2022).

About Ms. Keerthana Palaniappa Sivakolundu M.d NPPES

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

MS. KEERTHANA PALANIAPPA SIVAKOLUNDU M.D (NPI 1053055459) is an individual internal medicine provider in Peoria, Illinois, licensed in Illinois (125.079672) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053055459
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. KEERTHANA PALANIAPPA SIVAKOLUNDUCredential: M.D
Location Address530 NE GLEN OAK AVEPeoria, IL 61637
Mailing AddressOsf St. Francis Medical Center, Internal Medicine Resid, 530 Ne Glen Oak AvePeoria, IL 61637 · (309) 655-2730 · Fax (309) 655-3297
Phone(309) 655-2730
Fax(309) 655-3297
Sole ProprietorNo
Enumeration DateApril 22, 2022
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1053055459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125.079672
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.
530 NE GLEN OAK AVE, Peoria, IL 61637
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Keerthana Palaniappa Sivakolundu 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 61637 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.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Keerthana Palaniappa Sivakolundu's NPI number?

The NPI number for Keerthana Palaniappa Sivakolundu is 1053055459. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Keerthana Palaniappa Sivakolundu located?

Keerthana Palaniappa Sivakolundu practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2730.

What is Keerthana Palaniappa Sivakolundu's specialty?

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

Is Keerthana Palaniappa Sivakolundu enrolled in Medicare?

Yes. Keerthana Palaniappa Sivakolundu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keerthana Palaniappa Sivakolundu was last updated on July 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.