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DR. SUJITHA SREE KETINENI M.D.
NPI 1285120725
Internal Medicine - Hematology & Oncology in Springfield, IL

Active since July 09, 2018PECOS EnrolledAccepts Medicare Assignment
315 W CARPENTER ST # B, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-1141 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2021, Aug 31, 2018, Jul 9, 2018 (3 updates tracked since 2018).

About Dr. Sujitha Sree Ketineni M.d. NPPES

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

DR. SUJITHA SREE KETINENI M.D. (NPI 1285120725) is an individual hematology & oncology provider in Springfield, Illinois, licensed in Illinois (036.156940) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1285120725
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. SUJITHA SREE KETINENICredential: M.D.
Location Address315 W CARPENTER ST # BSpringfield, IL 62702-4901
Mailing AddressPo Box 19678Springfield, IL 62794-9678 · (217) 545-8000 · Fax (217) 545-1141
Phone(217) 545-8000
Fax(217) 545-1141
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 9, 2018
Last NPPES UpdateJune 29, 20213 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
✔ NPI 1285120725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IL · 036.156940
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125071938 (IL)
315 W CARPENTER ST # B, Springfield, IL 62702
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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

Dr. Sujitha Sree Ketineni 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 ID7416207139
PECOS Enrollment IDI20241220001097
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.

Medicare Billing Reassignment

Medicare enrollment records show Sujitha Ketineni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dignity Health Medical Foundation
1,570 mi
Multi-Specialty
401 E HIGHLAND AVE STE 251
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,191 clinicians in this Medicare group
NPI 1053653873 (909) 882-4605

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
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 3

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

ANDREW FULTZ
Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST # B
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
OMAR AL TAMIMI
Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST # B
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
NOOR KHALID
Internal Medicine (Hematology & Oncology)
315 W CARPENTER ST # B
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Sujitha Ketineni's NPI number?

The NPI number for Sujitha Ketineni is 1285120725. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Sujitha Ketineni located?

Sujitha Ketineni practices at 315 W Carpenter St # B, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Sujitha Ketineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sujitha Ketineni enrolled in Medicare?

Yes. Sujitha Ketineni 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 organization bills Medicare for Sujitha Ketineni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sujitha Ketineni reassigns Medicare benefits to Dignity Health Medical Foundation (San Bernardino, CA). The 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 Sujitha Ketineni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sujitha Ketineni was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.