PUSHPA K MAMTANI MD
NPI 1376527168
Pediatrics in Rockford, IL
About Pushpa K Mamtani Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUSHPA K MAMTANI MD (NPI 1376527168) is an individual pediatrics provider in Rockford, Illinois, licensed in Illinois (36 064091) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ottawa, and is a graduate of Other (1978).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
Pushpa K Mamtani 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.
Medicare Billing Reassignments
4Medicare enrollment records show Pushpa Mamtani reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Freeport, IL 61032
- Reassigned Medicare billing, Illinois enrollment
- 391 clinicians in this Medicare group
Freeport, IL 61032
- Reassigned Medicare billing, Illinois enrollment
- 478 clinicians in this Medicare group
Portage, WI 53901
- Reassigned Medicare billing, Wisconsin enrollment
- 359 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
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 61108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Pushpa Mamtani's NPI number?
The NPI number for Pushpa Mamtani is 1376527168. It was assigned to this individual provider in the NPPES registry on December 5, 2005. The provider is also known as Pushpa Balasubramanian MD.
Where is Pushpa Mamtani located?
Pushpa Mamtani practices at 5666 E State St, Rockford, IL 61108. The listed phone number is (815) 226-2000.
What is Pushpa Mamtani's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Pushpa Mamtani enrolled in Medicare?
Yes. Pushpa Mamtani 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 Pushpa Mamtani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pushpa Mamtani reassigns Medicare benefits to 4 organizations: Freeport Regional Health Care Foundation (Freeport, IL), Freeport Memorial Hospital (Freeport, IL), Divine Savior Healthcare, Inc. (Portage, WI) and Osf Multi-Specialty Group (Peoria, 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 Pushpa Mamtani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pushpa Mamtani accept?
Health plans from Group Health Cooperative-SCW, HealthPartners and Taro Health list Pushpa Mamtani 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.
When was this NPI record last updated?
The NPPES record for Pushpa Mamtani was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Pushpa K Mamtani, MD · NPI 1376527168
Pediatrics physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since December 5, 2005.
## Identity
- **NPI:** 1376527168 (Entity type: Individual)
- **Enumerated:** December 5, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 36 064091 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5666 E STATE ST, Rockford, IL 61108-2425
- **Phone:** (815) 226-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Freeport Regional Health Care Foundation (NPI 1457337016, Freeport, IL); Freeport Memorial Hospital (NPI 1447228788, Freeport, IL); Divine Savior Healthcare, Inc. (NPI 1124083894, Portage, WI); Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1978
## Record status
- **NPPES last updated:** March 5, 2025
- **Other identifiers:** Other 01932040 (IL); Medicaid 036064091 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1376527168) · Data from the CMS NPPES public registry.