RICHARD E KATHOLI M.D.
NPI 1245312529
Internal Medicine - Cardiovascular Disease in Springfield, IL

NPI Status: Active since October 19, 2006

Contact Information

619 E MASON ST
SUITE 4P57
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 788-0706
Fax: (217) 525-2535

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  • Individual
  • Male
  • Internal Medicine
  • Cardiovascular Disease
  • PECOS Enrolled

About RICHARD KATHOLI

This page provides the complete NPI Profile along with additional information for Richard Katholi, an internist established in Springfield, Illinois with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1245312529 assigned on October 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 036073624 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1245312529
Provider Name
RICHARD E KATHOLI M.D.
Gender
Male
Entity Type
Individual
Location Address
619 E MASON ST SUITE 4P57 SPRINGFIELD, IL 62701
Location Phone
(217) 788-0706
Location Fax
(217) 525-2535
Mailing Address
PO BOX 19420 SPRINGFIELD, IL 62794
Mailing Phone
(217) 788-0706
Mailing Fax
(217) 525-2535
Is Sole Proprietor?
No
Enumeration Date
10-19-2006
Last Update Date
12-28-2021
Code Navigator

An internist like Richard Katholi is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
036073624
License State
IL
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

036-073624 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
080009979OTHER (01)ILRAILROAD
036073624MEDICAID (05)IL 

Medicare Participation & PECOS Enrollment Status

Richard Katholi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Electrocardiogram (ecg) 2-day continuous with review by health care professional

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

This service was performed 56 times for 54 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 586 times for 536 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 255 times for 224 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

This service was performed 16 times for 16 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

This service was performed 56 times for 56 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

This service was performed 66 times for 66 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 36 times for 36 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 68 times for 68 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

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.

This service was performed 1,953 times for 1,708 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

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.

This service was performed 736 times for 543 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

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.

This service was performed 453 times for 443 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

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.

This service was performed 53 times for 51 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 62701 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.46
  • Minimum New Patient Price $54.8
  • Maximum New Patient Price $168.44
  • Average New Patient Copayment $31.86
  • Minimum New Patient Copayment $13.7
  • Maximum New Patient Copayment $42.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.64
  • Minimum Established Patient Price $17.16
  • Maximum Established Patient Price $136.56
  • Average Established Patient Copayment $17.16
  • Minimum Established Patient Copayment $4.29
  • Maximum Established Patient Copayment $34.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245312529, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 6 + 1 + 4 + 5 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1245312529.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Physician Assistant (Medical)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Acute Care)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Thoracic Surgery (Cardiothoracic Vascular Surgery)
619 E MASON ST, SUITE 3P25
SPRINGFIELD, IL 62701
Internal Medicine (Cardiovascular Disease)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Cardiovascular Disease)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Physician Assistant
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Cardiovascular Disease)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Family)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Cardiovascular Disease)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Physiological Laboratory
619 E MASON ST, ROOM 4P70
SPRINGFIELD, IL 62701
Thoracic Surgery (Cardiothoracic Vascular Surgery)
619 E MASON ST, SUITE 3P25
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245312529, enumerated as an "individual" on October 19, 2006.

The provider is located at 619 E MASON ST SUITE 4P57 SPRINGFIELD, IL 62701 and the phone number is (217) 788-0706.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.