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

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: November 01, 2026.

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

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.Insurance ›

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Poojitha Kolluri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hshs Good Shepherd Hospital Inc
0.1 mi
Critical Access
200 S CEDAR ST
Shelbyville, IL 62565
  • Reassigned Medicare billing, Illinois enrollment
  • 24 clinicians in this Medicare group
NPI 1053348532 (217) 774-3961
Sjl Health Systems Inc
15 mi
Skilled Nursing Facility
900 S CHESTNUT ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1215037353 (217) 562-3996

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

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)
200 S CEDAR ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-3961
STACEY WADDINGTON PA-C
Physician Assistant
200 S CEDAR ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-4400
MACY MICHELLE COLLINS
Nurse Practitioner (Psychiatric/Mental Health)
200 S CEDAR ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-4400
HSHS GOOD SHEPHARD HOSPITAL
General Acute Care Hospital (Rural)
200 S CEDAR ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-3961
HSHS GOOD SHEPHERD HOSPITAL INC
Medicare Defined Swing Bed Unit
200 S CEDAR ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-3961
SARAH E MASSEY APRN, FNP-C
Nurse Practitioner (Family)
200 S CEDAR ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-4400
DARYN JORDAN HANDLIN APRN
Nurse Practitioner (Family)
200 S CEDAR ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-4400
HSHS GOOD SHEPHERD HOSPITAL INC
Skilled Nursing Facility
200 S CEDAR ST
SHELBYVILLE, IL 62565
Shelby County (217) 774-3961

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 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.

Where is Poojitha Kolluri located?

Poojitha Kolluri practices at 200 S Cedar St, Shelbyville, IL 62565. The listed phone number is (217) 774-4400.

What is Poojitha Kolluri's specialty?

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

Is Poojitha Kolluri enrolled in Medicare?

Yes. Poojitha Kolluri 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 organizations bill Medicare for Poojitha Kolluri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poojitha Kolluri reassigns Medicare benefits to 2 organizations: Hshs Good Shepherd Hospital Inc (Shelbyville, IL) and Sjl Health Systems Inc (Pana, IL). Each 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 Poojitha Kolluri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Poojitha Kolluri accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Poojitha Kolluri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Poojitha Kolluri affiliated with any hospitals?

According to CMS data, Poojitha Kolluri is affiliated with St Johns Hospital, St Marys Hospital, Taylorville Memorial Hospital, Pana Community Hospital and Hshs Good Shepherd Hospital Inc.

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.