VENKATA R KARTHIK MISSULA MD
NPI 1285294041
Internal Medicine in Springfield, IL

Q: What is Venkata R Karthik Missula's NPI number?

The NPI number for Venkata R Karthik Missula is 1285294041. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Q: What is Venkata R Karthik Missula's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 14, 2019PECOS EnrolledAccepts Medicare Assignment

751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-4735 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, May 3, 2022, Jun 14, 2019 (3 updates tracked since 2019).

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About Venkata R Karthik Missula Md NPPES

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

VENKATA R KARTHIK MISSULA MD (NPI 1285294041) is an individual internal medicine provider in Springfield, Illinois, licensed in Illinois (036.159354) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1285294041

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameVENKATA R KARTHIK MISSULACredential: MD

Location Address751 N RUTLEDGE ST STE 1100Springfield, IL 62702-4968

Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000

Phone(217) 545-8000

Fax(217) 545-4735

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 14, 2019

Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1285294041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IL · 036.159354✔ Licensed in IL · 125073719

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 036.159354 (IL)

751 N RUTLEDGE ST STE 1100, Springfield, IL 62702

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Secondary Practice Location 1

Location 1701 N 1st StSpringfield, IL 62702-3757 · Phone (217) 545-8000 · Fax (217) 545-4735

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

Venkata R Karthik Missula 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.

PECOS PAC ID6507190071

PECOS Enrollment IDI20220510000926

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

28 services19 patients

Hospital Affiliations CMS Care Compare 2

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

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.

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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.

ANAND PATEL PHARMD

Pharmacist (Ambulatory Care)