SANDHYA VETHACHALAM M.D
NPI 1104234814
Pediatrics in Springfield, MO

Active since July 25, 2014PECOS EnrolledAccepts Medicare Assignment
3231 S NATIONAL AVE STE 100, SPRINGFIELD, MO 65807(417) 885-0810 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandhya Vethachalam M.d NPPES

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

SANDHYA VETHACHALAM M.D (NPI 1104234814) is an individual pediatrics provider in Springfield, Missouri, licensed in Missouri (2019009765) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Marymount University (2018).

NPPES Registry Identity

NPI1104234814
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSANDHYA VETHACHALAMCredential: M.D
Location Address3231 S NATIONAL AVE STE 100Springfield, MO 65807-7304
Mailing Address3231 S National Ave Ste 100Springfield, MO 65807-7304
Sole ProprietorNo
Medical School CMSMarymount UniversityGraduated 2018
Enumeration DateJuly 25, 2014
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1104234814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MO · 2019009765
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.
3231 S NATIONAL AVE STE 100, Springfield, MO 65807

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

Sandhya Vethachalam M.d 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 ID4981978020
PECOS Enrollment IDI20260303004156
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 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
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 4

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

Pediatrics
3231 S NATIONAL AVE STE 100
SPRINGFIELD, MO 65807
Pediatrics
3231 S NATIONAL AVE STE 100
SPRINGFIELD, MO 65807
Pediatrics
3231 S NATIONAL AVE STE 100
SPRINGFIELD, MO 65807
Pediatrics
3231 S NATIONAL AVE STE 100
SPRINGFIELD, MO 65807

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 Sandhya Vethachalam's NPI number?

The NPI number for Sandhya Vethachalam is 1104234814. It was assigned to this individual provider in the NPPES registry on July 25, 2014.

Where is Sandhya Vethachalam located?

Sandhya Vethachalam practices at 3231 S National Ave Ste 100, Springfield, MO 65807. The listed phone number is (417) 885-0810.

What is Sandhya Vethachalam's specialty?

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

Is Sandhya Vethachalam enrolled in Medicare?

Yes. Sandhya Vethachalam 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 Sandhya Vethachalam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Sandhya Vethachalam 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 Sandhya Vethachalam was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.