SHOBHA NOOKALA MD
NPI 1154336691
Psychiatry & Neurology - Child & Adolescent Psychiatry in Peoria, IL
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
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Shobha Nookala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61603
- Reassigned Medicare billing, Illinois enrollment
- 693 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61602
PEORIA, IL 61602
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.
Which organizations bill Medicare for Shobha Nookala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shobha Nookala reassigns Medicare benefits to 2 organizations: Methodist Medical Center Of Illinois (Peoria, IL) and Carle Health Medical Group (Urbana, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shobha Nookala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Shobha Nookala, MD · NPI 1154336691
Child & Adolescent Psychiatry physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1154336691 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **Sole proprietor:** No
## Practice location
- **Address:** 900 MAIN ST, SUITE 400, Peoria, IL 61602-1005
- **Phone:** (309) 672-3100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Methodist Medical Center Of Illinois (NPI 1184670663, Peoria, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other 7215059 (IL); Other 088318 (IL); Medicare ID-Type Unspecified K04470 (IL); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1154336691) · Data from the CMS NPPES public registry.