MS. POOJITHA KOLLURI MD
NPI 1306402870
Family Medicine in Shelbyville, IL

Q: What is Poojitha Kolluri's NPI number?

The NPI number for Poojitha Kolluri is 1306402870. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Q: What is Poojitha Kolluri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Poojitha Kolluri was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 10, 2019PECOS EnrolledAccepts Medicare Assignment

200 S CEDAR ST, SHELBYVILLE, IL 62565(217) 774-4400(217) 774-6445 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2022, Feb 8, 2020, May 10, 2019 (3 updates tracked since 2019).

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About Ms. Poojitha Kolluri Md NPPES

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

MS. POOJITHA KOLLURI MD (NPI 1306402870) is an individual family medicine provider in Shelbyville, Illinois, licensed in Illinois (036158456) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1306402870

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMS. POOJITHA KOLLURICredential: MD

Location Address200 S CEDAR STShelbyville, IL 62565-1838

Mailing Address2200 Jefferson Avenue - Mercy Family PhysicianToledo, OH 43604 · (419) 251-1859 · Fax (419) 251-4159

Phone(217) 774-4400

Fax(217) 774-6445

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 10, 2019

Last NPPES UpdateMay 13, 20223 updates tracked since enumeration

NPPES CertifiedMay 13, 2022

✔ NPI 1306402870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036158456

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

200 S CEDAR ST, Shelbyville, IL 62565

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Secondary Practice Location 1

Location 12200 Jefferson Avenue - Mercy Family PhysicianToledo, OH 43604 · Phone (419) 251-1859 · Fax (419) 251-4159

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

Ms. Poojitha Kolluri 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 ID7214333442

PECOS Enrollment IDI20220525002763

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.

Hospital Affiliations CMS Care Compare 5

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

St Marys Hospital

Acute Care Hospitals · Decatur, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140166

Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County

Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141339

Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County

Emergency services

Pana Community Hospital

Critical Access Hospitals · Pana, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141341

Location101 E Ninth StreetPana, IL 62557 · Christian County

Emergency services

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141354

Location200 S Cedar StShelbyville, IL 62565 · Shelby County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62565 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.

HSHS GOOD SHEPHERD HOSPITAL INC

General Acute Care Hospital (Critical Access)