SHANTI PRIYA SUBBARAO MD
NPI 1487910295
Hospitalist in Tuscola, IL

Active since April 05, 2012PECOS EnrolledAccepts Medicare Assignment
301 E SOUTHLINE RD, TUSCOLA, IL 61953(217) 253-5231(217) 253-4082 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2026, Jun 10, 2021, Feb 28, 2020 and 1 more (4 updates tracked since 2016).

About Shanti Priya Subbarao Md NPPES

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

SHANTI PRIYA SUBBARAO MD (NPI 1487910295) is an individual hospitalist provider in Tuscola, Illinois, licensed in Illinois (036.139178) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains a secondary practice location in Quincy.

NPPES Registry Identity

NPI1487910295
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSHANTI PRIYA SUBBARAOCredential: MD
Location Address301 E SOUTHLINE RDTuscola, IL 61953-2014
Mailing Address611 W Park StUrbana, IL 61801-2501
Fax(217) 253-4082
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateApril 5, 2012
Last NPPES UpdateApril 19, 20264 updates tracked since enumeration
NPPES CertifiedApril 19, 2026
✔ NPI 1487910295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036.139178
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036139178 (IL), 35.126085 (OH)
301 E SOUTHLINE RD, Tuscola, IL 61953

Secondary Practice Location 1

Location 11005 Broadway StQuincy, IL 62301-2834 · Phone (217) 223-8400 · Fax (217) 214-5837

Other Identifiers 1

Medicaid0128393OH

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

Shanti Priya Subbarao 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 ID9638484850
PECOS Enrollment IDI20151130001274
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

16

Medicare enrollment records show Shanti Subbarao reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
General Acute Care Hospital
2300 N EDWARD ST, GSBLL
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
Rural Health
801 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 clinicians in this Medicare group
General Acute Care Hospital
1304 FRANKLIN AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
Orthopaedic Surgery
1201 RICKER RD
Salem, IL 62881
  • Reassigned Medicare billing, Illinois enrollment
  • 228 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
Emergency Medicine
525 E GRANT ST
Macomb, IL 61455
  • Reassigned Medicare billing, Illinois enrollment
  • 55 clinicians in this Medicare group
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
Multi-Specialty
1005 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 363 clinicians in this Medicare group
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 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

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 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.
92 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61953 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%130 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Durable Medical Equipment & Medical Supplies
301 E SOUTHLINE RD
TUSCOLA, IL 61953
Clinic/Center (Rural Health)
301 E SOUTHLINE RD
TUSCOLA, IL 61953
Family Medicine
301 E SOUTHLINE RD
TUSCOLA, IL 61953
Family Medicine
301 E SOUTHLINE RD
TUSCOLA, IL 61953
Physician Assistant
301 E SOUTHLINE RD
TUSCOLA, IL 61953
Durable Medical Equipment & Medical Supplies
301 E SOUTHLINE RD
TUSCOLA, IL 61953
Nurse Practitioner (Family)
301 E SOUTHLINE RD
TUSCOLA, IL 61953
Nurse Practitioner (Family)
301 E SOUTHLINE RD
TUSCOLA, IL 61953

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 Shanti Subbarao's NPI number?

The NPI number for Shanti Subbarao is 1487910295. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Shanti Subbarao located?

Shanti Subbarao practices at 301 E Southline Rd, Tuscola, IL 61953. The listed phone number is (217) 253-5231.

What is Shanti Subbarao's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shanti Subbarao enrolled in Medicare?

Yes. Shanti Subbarao 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 Shanti Subbarao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanti Subbarao reassigns Medicare benefits to 16 organizations: Carle Health Medical Group (Urbana, IL), Decatur Memorial Hospital (Decatur, IL), Hoopeston Community Memorial Hospital (Hoopeston, IL), Advocate Health And Hospitals Corp. (Normal, IL), Deaconess Illinois Specialty Clinic, Inc. (Salem, IL) and 11 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 Shanti Subbarao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanti Subbarao accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Shanti Subbarao 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 Shanti Subbarao affiliated with any hospitals?

According to CMS data, Shanti Subbarao is affiliated with Blessing Hospital, Saint Francis Medical Center and Heartland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shanti Subbarao was last updated on April 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.