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NOUPAMA NETHMINI MIRIHAGALLE MD
NPI 1609435395
Internal Medicine - Hematology & Oncology in Springfield, IL

Active since June 06, 2019PECOS Enrolled
PO BOX 19678, SPRINGFIELD, IL 62794(217) 545-8000 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2025, May 3, 2022, Jun 6, 2019 (3 updates tracked since 2019).

About Noupama Nethmini Mirihagalle Md NPPES

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

NOUPAMA NETHMINI MIRIHAGALLE MD (NPI 1609435395) is an individual hematology & oncology provider in Springfield, Illinois, licensed in Illinois (036160072) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609435395
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameNOUPAMA NETHMINI MIRIHAGALLECredential: MD
Location AddressPO BOX 19678Springfield, IL 62794-9678
Mailing AddressPo Box 19678Springfield, IL 62794-9678 · (217) 545-8000 · Fax (217) 545-1141
Phone(217) 545-8000
Sole ProprietorNo
Enumeration DateJune 6, 2019
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1609435395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IL · 036160072
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.
PO BOX 19678, Springfield, IL 62794
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noupama Nethmini Mirihagalle Md 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

4

Medicare enrollment records show Noupama Mirihagalle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of Southern Illinois University
0.3 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100
Siu Physicians & Surgeons, Inc
0.3 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000
Carle Health Medical Group
79 mi
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
NPI 1154653947 (217) 383-8300
Hoopeston Community Memorial Hospital
113 mi
Rural Health
801 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 clinicians in this Medicare group
NPI 1578504544 (214) 283-5644

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 5

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.
468 services169 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
111 services109 patients
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.
24 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62794 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.

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 Noupama Mirihagalle's NPI number?

The NPI number for Noupama Mirihagalle is 1609435395. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Noupama Mirihagalle located?

Noupama Mirihagalle practices at PO Box 19678, Springfield, IL 62794. The listed phone number is (217) 545-8000.

What is Noupama Mirihagalle's specialty?

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

Is Noupama Mirihagalle enrolled in Medicare?

Yes. Noupama Mirihagalle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Noupama Mirihagalle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noupama Mirihagalle reassigns Medicare benefits to 4 organizations: Board Of Trustees Of Southern Illinois University (Springfield, IL), Siu Physicians & Surgeons, Inc (Springfield, IL), Carle Health Medical Group (Urbana, IL) and Hoopeston Community Memorial Hospital (Hoopeston, 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 Noupama Mirihagalle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Noupama Mirihagalle was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.