SHOVANA GHIMIRE MD
NPI 1215777966
Pediatrics in Springfield, IL

Active since May 30, 2024PECOS Enrolled
400 N 9TH ST # 4A, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-2303 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shovana Ghimire Md NPPES

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

SHOVANA GHIMIRE MD (NPI 1215777966) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (125083906) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215777966
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHOVANA GHIMIRECredential: MD
Location Address400 N 9TH ST # 4ASpringfield, IL 62702-5310
Mailing AddressPo Box 19658Springfield, IL 62794-9658 · (217) 545-8000 · Fax (217) 545-2303
Fax(217) 545-2303
Sole ProprietorNo
Enumeration DateMay 30, 2024
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
NPI 1215777966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 125083906
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.
400 N 9TH ST # 4A, Springfield, IL 62702

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shovana Ghimire Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62702 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.

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.

Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702

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 Shovana Ghimire's NPI number?

The NPI number for Shovana Ghimire is 1215777966. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Shovana Ghimire located?

Shovana Ghimire practices at 400 N 9th St # 4A, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Shovana Ghimire's specialty?

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

Is Shovana Ghimire enrolled in Medicare?

Yes. Shovana Ghimire is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shovana Ghimire was last updated on December 18, 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.