MASTAN RAO INDLAMURI M.D.,
NPI 1134561913
Family Medicine in Springfield, IL

Q: What is Mastan Rao Indlamuri's NPI number?

The NPI number for Mastan Rao Indlamuri is 1134561913. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Q: What is Mastan Rao Indlamuri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 22, 2013PECOS Enrolled

2239 E COOK ST, SPRINGFIELD, IL 62703(713) 500-7616(713) 500-7619 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2018, Dec 20, 2017 (2 updates tracked since 2017).

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About Mastan Rao Indlamuri M.d., NPPES

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

MASTAN RAO INDLAMURI M.D., (NPI 1134561913) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (036.142622) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1134561913

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMASTAN RAO INDLAMURICredential: M.D.,

Location Address2239 E COOK STSpringfield, IL 62703-1944

Mailing Address2239 E Cook StSpringfield, IL 62703-1944 · (217) 788-2300 · Fax (217) 788-2342

Phone(713) 500-7616

Fax(713) 500-7619

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 22, 2013

Last NPPES UpdateFebruary 12, 20182 updates tracked since enumeration

✔ NPI 1134561913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036.142622

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2239 E COOK ST, Springfield, IL 62703

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Other Identifiers 1

Medicaid036142622IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mastan Rao Indlamuri M.d., is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608147798

PECOS Enrollment IDI20170808002841

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.

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers19 claims38 services$4.16 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers12 claims1,093 services$0.02 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers16 claims16 services$19.50 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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