PANKAJ K KAUL M.D.
NPI 1376771105
Internal Medicine in Belleville, IL

Active since July 01, 2009PECOS Enrolled
211 S 3RD ST, BELLEVILLE, IL 62220(618) 234-2120(618) 641-5806 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2022, Apr 15, 2020, Oct 8, 2019 (3 updates tracked since 2019).

About Pankaj K Kaul M.d. NPPES

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

PANKAJ K KAUL M.D. (NPI 1376771105) is an individual internal medicine provider in Belleville, Illinois, licensed in Illinois (036125153) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1376771105
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePANKAJ K KAULCredential: M.D.
Location Address211 S 3RD STBelleville, IL 62220-1915
Mailing Address211 S 3rd StBelleville, IL 62220-1915 · (618) 234-2120 · Fax (618) 641-5806
Fax(618) 641-5806
Sole ProprietorNo
Enumeration DateJuly 1, 2009
Last NPPES UpdateNovember 11, 20223 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
✔ NPI 1376771105 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 · 036125153✔ Licensed in WI · 54712-20
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 036125153 (IL), 2015038767 (MO)
211 S 3RD ST, Belleville, IL 62220

Secondary Practice Location 1

Location 14500 Memorial DrBelleville, IL 62226-5360 · Phone (618) 257-6220

Other Identifiers 1

OtherP01162008Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pankaj K Kaul M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

13

Medicare enrollment records show Pankaj Kaul reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infectious Disease
211 S 3RD ST
Belleville, IL 62220
  • Reassigned Medicare billing, Illinois enrollment
  • 51 clinicians in this Medicare group
Internal Medicine
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
Critical Care Medicine
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 255 clinicians in this Medicare group
Hospitalist
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 93 clinicians in this Medicare group
Internal Medicine
670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 507 clinicians in this Medicare group
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 301 clinicians in this Medicare group
Medicare Defined Swing Bed Unit
211 BEV ANDERSON DR
Darlington, WI 53530
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1114987054 (Wisconsin)
  • 12 clinicians in this Medicare group
Family Medicine
831 ARTHUR DR
Milton, WI 53563
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1083310908 (Wisconsin)
  • 83 clinicians in this Medicare group
Multi-Specialty
1035 RED BUD RD NE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
  • 384 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.

Areas of Expertise CMS Part B claims 2

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
64 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62220 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.

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.

Nurse Anesthetist, Certified Registered
211 S 3RD ST
BELLEVILLE, IL 62220
Pharmacist
211 S 3RD ST
BELLEVILLE, IL 62220
Specialist
211 S 3RD ST
BELLEVILLE, IL 62220
Anesthesiology
211 S 3RD ST
BELLEVILLE, IL 62220
Internal Medicine (Critical Care Medicine)
211 S 3RD ST
BELLEVILLE, IL 62220
Emergency Medicine
211 S 3RD ST
BELLEVILLE, IL 62220
Anesthesiology
211 S 3RD ST
BELLEVILLE, IL 62220
Family Medicine
211 S 3RD ST
BELLEVILLE, IL 62220

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 Pankaj Kaul's NPI number?

The NPI number for Pankaj Kaul is 1376771105. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Pankaj Kaul located?

Pankaj Kaul practices at 211 S 3rd St, Belleville, IL 62220. The listed phone number is (618) 234-2120.

What is Pankaj Kaul's specialty?

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

Is Pankaj Kaul enrolled in Medicare?

Yes. Pankaj Kaul is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pankaj Kaul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pankaj Kaul reassigns Medicare benefits to 13 organizations: Cep America - Illinois Snf, LLP (Belleville, IL), Cep America-Illinois Hospitalists, LLP (Belleville, IL), Ssm Health Care St. Louis (Saint Louis, MO), Cogent Healthcare Of Missouri, Inc (Fenton, MO), Galen Inpatient Physicians PC. (Fenton, MO) and 8 more organizations, listed in the Medicare section above. 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 Pankaj Kaul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pankaj Kaul accept?

Health plans from CareSource and Group Health Cooperative-SCW list Pankaj Kaul 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 Pankaj Kaul was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.