DR. MEERA GOPU MD
NPI 1609442912
Otolaryngology - Plastic Surgery within the Head & Neck in Peoria, IL

NPI Status: Active since May 28, 2021

Contact Information

8600 ILLINOIS RT 91
STE. 300
PEORIA, IL
ZIP 61615
Phone: (309) 691-6616
Fax: (309) 282-3848

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  • Individual
  • Female
  • Years of Experience 17
  • Otolaryngology
  • Plastic Surgery within the Head & Neck
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MEERA GOPU

This page provides the complete NPI Profile along with additional information for Meera Gopu, a provider established in Peoria, Illinois with a medical specialization in Otolaryngology, focusing in plastic surgery within the head & neck and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1609442912 assigned on May 2021. The practitioner's primary taxonomy code is 207YX0007X with license number 288601 (MA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1609442912
Provider Name
DR. MEERA GOPU MD
Gender
Female
Entity Type
Individual
Location Address
8600 ILLINOIS RT 91 STE. 300 PEORIA, IL 61615
Location Phone
(309) 691-6616
Location Fax
(309) 282-3848
Mailing Address
8600 ILLINOIS RT 91 STE 300 PEORIA, IL 61615
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
No
Enumeration Date
05-28-2021
Last Update Date
11-25-2024
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Location Map

Secondary Locations

  • 736 Cambridge St
    Brighton, MA 02135
    (617) 789-3000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Plastic Surgery within the Head & Neck

Taxonomy Code
207YX0007X
Type
Allopathic & Osteopathic Physicians
License No.
288601
License State
MA
Taxonomy Description
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Medicare Participation & PECOS Enrollment Status

Meera Gopu is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Meera Gopu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6305208513

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230818001714

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Upper gastrointestinal (GI) endoscopy for acid reflux

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

This service was performed for 1-10 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Meera Gopu is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST MARY MEDICAL CENTER3333 NORTH SEMINARY
GALESBURG, IL 61401
(309) 344-3161Acute Care Hospitals
SAINT FRANCIS MEDICAL CENTER530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2000Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609442912, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 8 + 4 + 4 + 9 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1609442912.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609442912, enumerated as an "individual" on May 28, 2021.

The provider is located at 8600 ILLINOIS RT 91 STE. 300 PEORIA, IL 61615 and the phone number is (309) 691-6616.

Otolaryngology with taxonomy code 207YX0007X and a focus in Plastic Surgery within the Head & Neck.

Meera Gopu is affiliated with: ST MARY MEDICAL CENTER and SAINT FRANCIS MEDICAL CENTER.