DR. KALUGOTLA N SHIVARAM MD
NPI 1619959137
Emergency Medicine in Wentzville, MO
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
Specialties & Licenses 3
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kalugotla N Shivaram Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
10Medicare enrollment records show Kalugotla Shivaram reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wentzville, MO 63385
- Reassigned Medicare billing, Missouri enrollment
- 46 clinicians in this Medicare group
Wentzville, MO 63385
- Reassigned Medicare billing, Missouri enrollment
- 269 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 95 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Illinois enrollment
- 42 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Illinois and Missouri enrollments
- 65 clinicians in this Medicare group
Granite City, IL 62040
- Reassigned Medicare billing, Illinois enrollment
- 107 clinicians in this Medicare group
Gillespie, IL 62033
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1053425124 (Illinois)
- 78 clinicians in this Medicare group
Potosi, MO 63664
- Reassigned Medicare billing, Missouri enrollment
- 60 clinicians in this Medicare group
Houston, MO 65483
- Reassigned Medicare billing, Missouri enrollment
- 101 clinicians in this Medicare group
Galesburg, IL 61401
- Reassigned Medicare billing, Illinois enrollment
- 36 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
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, ILWashington County Memorial Hospital
Critical Access Hospitals · Potosi, MOPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Kalugotla Shivaram's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalugotla Shivaram reassigns Medicare benefits to 10 organizations: Our Urgent Care, LLC (Wentzville, MO), Cep America LLC (Wentzville, MO), Shriners Hospitals For Children (Saint Louis, MO), Alton-Griffin Emergency Group PC (Alton, IL), Southeastern Emergency Physicians Of Memphis LLC (Alton, IL) and 5 more organizations, listed in the Medicare section above. 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 Kalugotla Shivaram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kalugotla Shivaram accept?
Health plans from AmeriHealth Caritas Next 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 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 3 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.
# Dr. Kalugotla N Shivaram, MD · NPI 1619959137
Emergency Medicine physician in Wentzville, Missouri. Individual provider, active in the CMS NPPES registry since November 18, 2005.
## Identity
- **NPI:** 1619959137 (Entity type: Individual)
- **Enumerated:** November 18, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 111383 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 W PEARCE BLVD, Wentzville, MO 63385-1020
- **Phone:** (636) 887-4288 · **Fax:** (636) 639-2368
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Our Urgent Care, LLC (NPI 1902815863, Wentzville, MO); Cep America LLC (NPI 1568017994, Wentzville, MO); Shriners Hospitals For Children (NPI 1275970295, Saint Louis, MO); Alton-Griffin Emergency Group PC (NPI 1891104824, Alton, IL); Southeastern Emergency Physicians Of Memphis LLC (NPI 1437105277, Alton, IL); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** October 6, 2023
- **Other identifiers:** Medicaid 207245606 (MO); Medicaid 036086751 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1619959137) · Data from the CMS NPPES public registry.