DR. ARCHANA NAYANI M.D.
NPI 1548524770
Internal Medicine - Hematology & Oncology in Springfield, IL

Active since July 03, 2012PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
800 E CARPENTER ST, SPRINGFIELD, IL 62769(217) 528-7541 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2022, May 21, 2020, Sep 26, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Archana Nayani M.d. NPPES

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

DR. ARCHANA NAYANI M.D. (NPI 1548524770) is an individual hematology & oncology provider in Springfield, Illinois, licensed in Illinois (036.144702) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1548524770
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ARCHANA NAYANICredential: M.D.
Location Address800 E CARPENTER STSpringfield, IL 62769-1000
Mailing Address1025 S 6th StSpringfield, IL 62703-2499 · (217) 528-7541
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 3, 2012
Last NPPES UpdateJanuary 17, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
NPI 1548524770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in IL · 036.144702
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2012015092 (MO)
800 E CARPENTER ST, Springfield, IL 62769

Other Names 1

Former Name (1)Archana Garipalli Md

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. Archana Nayani 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 ID1052548526
PECOS Enrollment IDI20180828003673
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.

Areas of Expertise CMS Part B claims 18

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.

Injection, iron sucrose, 1 mg J1756
Iron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.
17,800 services30 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
640 services12 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.
458 services169 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
320 services128 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
233 services130 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
214 services46 patients

Hospital Affiliations CMS Care Compare 4

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62769 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
$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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 150 mg J8520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers16 claims2,408 services$0.42 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims23 services$12.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Internal Medicine (Critical Care Medicine)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Radiology (Diagnostic Radiology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Pathology (Anatomic Pathology & Clinical Pathology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Anesthesiology
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Pathology (Anatomic Pathology & Clinical Pathology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Occupational Therapist
800 E CARPENTER ST
SPRINGFIELD, IL 62769

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 Archana Nayani's NPI number?

The NPI number for Archana Nayani is 1548524770. It was assigned to this individual provider in the NPPES registry on July 3, 2012. The provider is also known as Archana Garipalli MD.

Where is Archana Nayani located?

Archana Nayani practices at 800 E Carpenter St, Springfield, IL 62769. The listed phone number is (217) 528-7541.

What is Archana Nayani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Archana Nayani enrolled in Medicare?

Yes. Archana Nayani 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.

Is Archana Nayani affiliated with any hospitals?

According to CMS data, Archana Nayani is affiliated with St Johns Hospital, Memorial Medical Center, Taylorville Memorial Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Archana Nayani was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.