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DR. NAGA PUSHPA GUNTUPALLI MD
NPI 1518340231
Psychiatry & Neurology - Psychiatry in Kankakee, IL

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
400 N WALL ST STE B402, KANKAKEE, IL 60901(815) 937-1237(815) 933-0662 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2020, May 5, 2020, Jul 9, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Naga Pushpa Guntupalli Md NPPES

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

DR. NAGA PUSHPA GUNTUPALLI MD (NPI 1518340231) is an individual psychiatry provider in Kankakee, Illinois, licensed in Illinois (036148184) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518340231
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. NAGA PUSHPA GUNTUPALLICredential: MD
Location Address400 N WALL ST STE B402Kankakee, IL 60901-2940
Mailing Address400 N Wall St Ste B402Kankakee, IL 60901-2940 · (815) 937-1237 · Fax (815) 933-0662
Phone(815) 937-1237
Fax(815) 933-0662
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 30, 2015
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
✔ NPI 1518340231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IL · 036148184✔ Licensed in MA · 262517
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
400 N WALL ST STE B402, Kankakee, IL 60901
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Secondary Practice Locations 2

Location 11601 Butterfield TrlKankakee, IL 60901-2959 · Phone (815) 936-6500 · Fax (815) 936-6502
Location 2400 S Kennedy Dr Ste 200Bradley, IL 60915-2686 · Phone (815) 937-1237 · Fax (815) 933-0662

Other Identifiers 1

Medicaid036148184IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Naga Pushpa Guntupalli 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 ID9739493347
PECOS Enrollment IDI20190718002564
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 Reassignment

Medicare enrollment records show Naga Guntupalli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Health System
0.6 mi
Psychiatry
500 N WALL ST, SUITE 200
Kankakee, IL 60901
  • Reassigned Medicare billing, Illinois enrollment
  • 381 clinicians in this Medicare group
NPI 1336354430 (815) 937-1237

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 6

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 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.
344 services130 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
83 services83 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.
77 services39 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
49 services17 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
45 services19 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Iroquois Memorial Hospital

Critical Access Hospitals · Watseka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141353
Location200 Fairman StreetWatseka, IL 60970 · Iroquois County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 2

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

KHALID NAVEED ARSHAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
400 N WALL ST STE B402
KANKAKEE, IL 60901
Kankakee County (815) 937-1237
DR. TIMOTHY GEORGE YOVANKIN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
400 N WALL ST STE B402
KANKAKEE, IL 60901
Kankakee County (815) 937-1237

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 Naga Guntupalli's NPI number?

The NPI number for Naga Guntupalli is 1518340231. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Naga Guntupalli located?

Naga Guntupalli practices at 400 N Wall St Ste B402, Kankakee, IL 60901. The listed phone number is (815) 937-1237.

What is Naga Guntupalli's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Naga Guntupalli enrolled in Medicare?

Yes. Naga Guntupalli 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 organization bills Medicare for Naga Guntupalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naga Guntupalli reassigns Medicare benefits to Riverside Health System (Kankakee, IL). The 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 Naga Guntupalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Naga Guntupalli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Providence Health Plan list Naga Guntupalli 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 Naga Guntupalli affiliated with any hospitals?

According to CMS data, Naga Guntupalli is affiliated with Riverside Medical Center and Iroquois Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Naga Guntupalli was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.