DR. VASANTHA P PAI M.D
NPI 1306921218
Internal Medicine - Gastroenterology in Belleville, IL

Q: What is Vasantha Pai's NPI number?

The NPI number for Vasantha Pai is 1306921218. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Vasantha Pai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Vasantha Pai was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 October 26, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA Certified · 2 labs

83.39/100

CMS Quality Rating

2810 FRANK SCOTT PKWY W STE 716, BELLEVILLE, IL 62223(618) 355-0880(618) 355-0881 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Vasantha P Pai M.d NPPES

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

DR. VASANTHA P PAI M.D (NPI 1306921218) is an individual gastroenterology provider in Belleville, Illinois, licensed in Illinois (036097852) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds 2 active CLIA laboratory certificates, and is affiliated with St Josephs Hospital.

NPPES Registry Identity

NPI1306921218

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. VASANTHA P PAICredential: M.D

Location Address2810 FRANK SCOTT PKWY W STE 716Belleville, IL 62223-5007

Mailing Address2810 Frank Scott Pkwy W Ste 716Belleville, IL 62223-5007 · (618) 355-0880 · Fax (618) 355-0881

Phone(618) 355-0880

Fax(618) 355-0881

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateOctober 26, 2006

Last NPPES UpdateApril 26, 2016

✔ NPI 1306921218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IL · 036097852

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2810 FRANK SCOTT PKWY W STE 716, Belleville, IL 62223

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Other Identifiers 3

Medicare UPING48287IL

Medicaid36097852IL

Medicare ID-Type Unspecified547630IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Dr. Vasantha P Pai 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 ID9234227935

PECOS Enrollment IDI20071114000021

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.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D2046170

Vasantha Pai M D P C · Belleville, IL

Active · expires Aug 12, 2026

CLIA Number14D2046170

Laboratory TypePhysician Office

Certificate Effective DateAugust 13, 2024

Certificate Expiration DateAugust 12, 2026

Laboratory DirectorPamella S. Gronemeyer MD

Laboratory Phone(618) 368-1540

Laboratory LocationVasantha Pai M D P C2810 Frank Scott Pkwy West, Ste 716, Belleville, IL 62223

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 14D2034952

Vasantha Pai MD PC · Belleville, IL

Active · expires Jan 5, 2028

CLIA Number14D2034952

Laboratory TypeOffice Based Endoscopy

Certificate Effective DateJanuary 6, 2026

Certificate Expiration DateJanuary 5, 2028

Laboratory DirectorVasantha Pai MD

Laboratory Phone(618) 355-0880

Laboratory LocationVasantha Pai MD PC2810 Frank Scott Parkway Ste 716, Belleville, IL 62223

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

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.

1,140 services669 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

851 services825 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

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.

745 services745 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

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.

468 services404 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

382 services378 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

328 services326 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

249 services248 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

165 services163 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

118 services114 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

85 services82 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

44 services42 patients

Banding of hemorrhoids using a flexible endoscope (colonoscope) 45398

Banding of hemorrhoids using a colonoscope is a procedure to treat swollen blood vessels in your lower digestive tract. A flexible tube with a light and camera, called a colonoscope, helps locate the hemorrhoids. Then, tiny rubber bands are placed around them, cutting off their blood supply. This causes them to shrink and fall off.

41 services41 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

30 services30 patients

Biopsy of large bowel using a flexible endoscope 45380

28 services28 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

27 services27 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

23 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

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.

19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number140145

Location9515 Holy Cross LnBreese, IL 62230 · Clinton County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140187

LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County

Emergency services Birthing friendly

Washington County Hospital

Critical Access Hospitals · Nashville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141308

Location705 S Grand AveNashville, IL 62263 · Washington County

Emergency services

Red Bud Regional Hospital

Critical Access Hospitals · Red Bud, IL

OwnershipProprietary

CMS Certification Number141348

Location325 Spring StreetRed Bud, IL 62278 · Randolph County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62223 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.33

Promoting Interoperability

100

Improvement Activities

Cost

66.3

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Other Providers at the Same Location NPPES 5

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

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Physician Assistant