AMOD AMRITPHALE MD
NPI 1053675157
Internal Medicine - Interventional Cardiology in Springfield, MO

Active since July 03, 2012PECOS EnrolledAccepts Medicare Assignment
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-3911 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2022, Feb 2, 2021, May 15, 2018 (3 updates tracked since 2018).

About Amod Amritphale Md NPPES

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

AMOD AMRITPHALE MD (NPI 1053675157) is an individual interventional cardiology provider in Springfield, Missouri, licensed in Missouri (2022010834) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and maintains a secondary practice location in Mobile.

NPPES Registry Identity

NPI1053675157
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameAMOD AMRITPHALECredential: MD
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing Address1235 E Cherokee StSpringfield, MO 65804-2203 · (417) 820-3911
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 3, 2012
Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
NPI 1053675157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in MO · 2022010834 Licensed in AL · MD.38128
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

1235 E CHEROKEE ST, Springfield, MO 65804

Secondary Practice Location 1

Location 12451 University Hospital Dr Bldg CMobile, AL 36617-2300 · Phone (251) 445-8242 · Fax (251) 445-8250

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amod Amritphale Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244452118
PECOS Enrollment IDI20220624001089
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.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
223 services216 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
174 services174 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
128 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
128 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
124 services51 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
118 services113 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261316
Location500 Porter AvenueAurora, MO 65605 · Lawrence County
Emergency services Birthing friendly

Mercy St Francis Hospital

Critical Access Hospitals · Mountain View, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261335
Location100 West Highway 60, PO Box 82Mountain View, MO 65548 · Howell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804

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 Amod Amritphale's NPI number?

The NPI number for Amod Amritphale is 1053675157. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Amod Amritphale located?

Amod Amritphale practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-3911.

What is Amod Amritphale's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Amod Amritphale enrolled in Medicare?

Yes. Amod Amritphale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amod Amritphale accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Amod Amritphale 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.

Is Amod Amritphale affiliated with any hospitals?

According to CMS data, Amod Amritphale is affiliated with Mercy Hospital Lebanon, Mercy Hospital Springfield, Cox Medical Center Branson, Mercy Hospital Aurora and Mercy St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Amod Amritphale was last updated on July 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.