PRASAD V KANDULA M.D.
NPI 1164518460
Internal Medicine - Interventional Cardiology in Belleville, IL

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
4600 MEMORIAL DR STE W1, BELLEVILLE, IL 62226(618) 233-3066 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2025, Aug 24, 2021, Mar 12, 2021 (3 updates tracked since 2021).

About Prasad V Kandula M.d. NPPES

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

PRASAD V KANDULA M.D. (NPI 1164518460) is an individual interventional cardiology provider in Belleville, Illinois, licensed in Illinois (036086651) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164518460
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NamePRASAD V KANDULACredential: M.D.
Location Address4600 MEMORIAL DR STE W1Belleville, IL 62226-5359
Mailing Address3 Saint Elizabeth BlvdO Fallon, IL 62269-1281 · (618) 233-6044 · Fax (618) 233-5195
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 5, 2006
Last NPPES UpdateDecember 29, 20253 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1164518460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in IL · 036086651
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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036086651 (IL)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 036086651 (IL)
4600 MEMORIAL DR STE W1, Belleville, IL 62226

Secondary Practice Locations 2

Location 1310 N Seven Hills Rd, Suite 150O Fallon, IL 62269-4111 · Phone (618) 632-1495 · Fax (618) 628-0480
Location 23 Saint Elizabeth BlvdO Fallon, IL 62269-1281 · Phone (618) 233-6044 · Fax (618) 233-5195

Other Identifiers 2

Medicaid036086651IL
Medicaid1164518460IL

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

Prasad V Kandula 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 ID9234152505
PECOS Enrollment IDI20060112000662
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 26

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.
3,222 services2,115 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,097 services659 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.
601 services579 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
302 services273 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.
159 services59 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
139 services139 patients

Hospital Affiliations CMS Care Compare 5

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier19 claims19 services$2,302.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
Internal Medicine (Interventional Cardiology)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
Nurse Practitioner
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
Nurse Practitioner
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
Internal Medicine
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226
Nurse Practitioner
4600 MEMORIAL DR STE W1
BELLEVILLE, IL 62226

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 Prasad Kandula's NPI number?

The NPI number for Prasad Kandula is 1164518460. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Prasad Kandula located?

Prasad Kandula practices at 4600 Memorial Dr Ste W1, Belleville, IL 62226. The listed phone number is (618) 233-3066.

What is Prasad Kandula's specialty?

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

Is Prasad Kandula enrolled in Medicare?

Yes. Prasad Kandula 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 Prasad Kandula accept?

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

According to CMS data, Prasad Kandula is affiliated with St Josephs Hospital, Memorial Hospital, Hshs St Elizabeth's Hospital, Anderson Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Prasad Kandula was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.