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DR. KALUGOTLA N SHIVARAM MD
NPI 1619959137
Emergency Medicine in Wentzville, MO

Active since November 18, 2005PECOS Enrolled
96.91/100
CMS Quality Rating
1111 W PEARCE BLVD, WENTZVILLE, MO 63385(636) 887-4288(636) 639-2368 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2023, Aug 30, 2022 (2 updates tracked since 2022).

About Dr. Kalugotla N Shivaram Md NPPES

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

DR. KALUGOTLA N SHIVARAM MD (NPI 1619959137) is an individual emergency medicine provider in Wentzville, Missouri, licensed in Missouri (111383) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1619959137
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KALUGOTLA N SHIVARAMCredential: MD
Location Address1111 W PEARCE BLVDWentzville, MO 63385-1020
Mailing Address842 Bellerive Manor DrCreve Coeur, MO 63141-3201 · (636) 887-4288
Phone(636) 887-4288
Fax(636) 639-2368
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 18, 2005
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1619959137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MO · 111383✔ Licensed in IL · 036086751
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 111383 (MO)
Also ListedPediatricsTaxonomy 208000000X · License 111383 (MO)
1111 W PEARCE BLVD, Wentzville, MO 63385
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Other Identifiers 2

Medicaid207245606MO
Medicaid036086751IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kalugotla N Shivaram Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103850797
PECOS Enrollment IDI20051005001009, I20051230000100
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
84 services79 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
53 services50 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services21 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Gateway Regional Medical Center

Acute Care Hospitals · Granite City, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140125
Location2100 Madison AvenueGranite City, IL 62040 · Madison County
Emergency services

Washington County Memorial Hospital

Critical Access Hospitals · Potosi, MO
OwnershipGovernment - Local
CMS Certification Number261308
Location300 Health WayPotosi, MO 63664 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63385 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

96.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

MRS. KATHRYN C STEINMANN CNP
Nurse Practitioner (Family)
1111 W PEARCE BLVD
WENTZVILLE, MO 63385
St. Charles County (636) 887-4288
ELIZABETH JOHNSON FNP
Nurse Practitioner (Family)
1111 W PEARCE BLVD
WENTZVILLE, MO 63385
St. Charles County (636) 887-3020
SHAWNDRA LATOYA BROWN-FOOTE MD
Family Medicine
1111 W PEARCE BLVD
WENTZVILLE, MO 63385
St. Charles County (636) 856-5362
OUR URGENT CARE, LLC
Clinic/Center (Urgent Care)
1111 W PEARCE BLVD
WENTZVILLE, MO 63385
St. Charles County (252) 813-9104

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 Kalugotla Shivaram's NPI number?

The NPI number for Kalugotla Shivaram is 1619959137. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Kalugotla Shivaram located?

Kalugotla Shivaram practices at 1111 W Pearce Blvd, Wentzville, MO 63385. The listed phone number is (636) 887-4288.

What is Kalugotla Shivaram's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kalugotla Shivaram enrolled in Medicare?

Yes. Kalugotla Shivaram is registered in the Medicare PECOS enrollment system.

What insurance does Kalugotla Shivaram accept?

Health plans from Medica list Kalugotla Shivaram 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 Kalugotla Shivaram affiliated with any hospitals?

According to CMS data, Kalugotla Shivaram is affiliated with Osf Saint Anthony's Health Center, Gateway Regional Medical Center and Washington County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kalugotla Shivaram was last updated on October 6, 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.