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SHOBHA NOOKALA MD
NPI 1154336691
Psychiatry & Neurology - Child & Adolescent Psychiatry in Peoria, IL

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
900 MAIN ST, SUITE 400, PEORIA, IL 61602(309) 672-3100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shobha Nookala Md NPPES

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

SHOBHA NOOKALA MD (NPI 1154336691) is an individual child & adolescent psychiatry provider in Peoria, Illinois and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1154336691
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSHOBHA NOOKALACredential: MD
Location Address900 MAIN ST, SUITE 400Peoria, IL 61602-1005
Mailing Address5100 Reliable PkwyChicago, IL 60686-0001 · (309) 672-4809
Phone(309) 672-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154336691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
900 MAIN ST, Peoria, IL 61602
Open in Google Maps ↗

Other Identifiers 5

Other7215059IL · Bcbs Ppo
Other088318IL · Health Alliance
Medicare ID-Type UnspecifiedK04470IL
Medicare UPINH73719IL
Other472292IL · Healthlink

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Shobha Nookala 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 ID3072500735
PECOS Enrollment IDI20040427000105
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

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

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

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.

KAREN MARGARET KYLE M.D.
Psychiatry & Neurology (Psychiatry)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
CATHERINE J KILBOURN LCSW
Social Worker (Clinical)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
DR. JENNIFER REBECCA SHIBLEY PSY.D., M.S.
Psychologist (Clinical)
900 MAIN ST, SUITE 780
PEORIA, IL 61602
Peoria County (309) 672-5946
RYAN FAIRCHILD
Physical Therapist
900 MAIN ST, STE 450
PEORIA, IL 61602
Peoria County (309) 672-4568
CRYSTAL CORZATT PT
Physical Therapist
900 MAIN ST, SUITE 450
PEORIA, IL 61602
Peoria County (309) 672-4568
LYNNE M JALOVEC, MD, SC
Surgery
900 MAIN ST, SUITE 310
PEORIA, IL 61602
Peoria County (309) 672-4174
MID ILLINI SURGICAL ASSOCIATES SC
Surgery
900 MAIN ST, SUITE 530
PEORIA, IL 61602
Peoria County (309) 672-5975
MICHAEL D. CASHMAN, M.D., S.C.
Internal Medicine (Gastroenterology)
900 MAIN ST, SUITE 490
PEORIA, IL 61602
Peoria County (309) 671-8313

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 Shobha Nookala's NPI number?

The NPI number for Shobha Nookala is 1154336691. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Shobha Nookala located?

Shobha Nookala practices at 900 Main St Suite 400, Peoria, IL 61602. The listed phone number is (309) 672-3100.

What is Shobha Nookala's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Shobha Nookala enrolled in Medicare?

Yes. Shobha Nookala 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 Shobha Nookala accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shobha Nookala 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 Shobha Nookala affiliated with any hospitals?

According to CMS data, Shobha Nookala is affiliated with Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Shobha Nookala was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.