DR. SHYAM KIRAN GANDAM VENKATA MD
NPI 1629332754
Internal Medicine - Critical Care Medicine in Springfield, IL

Q: What is Shyam Kiran Gandam Venkata's NPI number?

The NPI number for Shyam Kiran Gandam Venkata is 1629332754. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Q: What is Shyam Kiran Gandam Venkata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Active since July 03, 2012PECOS EnrolledAccepts Medicare Assignment

94.61/100

CMS Quality Rating

701 N 1ST ST, SPRINGFIELD, IL 62781(217) 528-7541(217) 606-3057 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2022, May 22, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Shyam Kiran Gandam Venkata Md NPPES

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

DR. SHYAM KIRAN GANDAM VENKATA MD (NPI 1629332754) is an individual critical care medicine provider in Springfield, Illinois, licensed in Illinois (036143316) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1629332754

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. SHYAM KIRAN GANDAM VENKATACredential: MD

Location Address701 N 1ST STSpringfield, IL 62781-2604

Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541

Phone(217) 528-7541

Fax(217) 606-3057

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 3, 2012

Last NPPES UpdateJuly 14, 20254 updates tracked since enumeration

NPPES CertifiedJuly 14, 2025

✔ NPI 1629332754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in IL · 036143316

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

701 N 1ST ST, Springfield, IL 62781

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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. Shyam Kiran Gandam Venkata Md 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 ID2163790387

PECOS Enrollment IDI20170612003004

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 2

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 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.

159 services83 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.

125 services93 patients

Hospital Affiliations CMS Care Compare 3

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

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141352

Location1600 W Walnut StJacksonville, IL 62650 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62781 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

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

Quality

85.17

Promoting Interoperability

100

Improvement Activities

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.

DR. LUCAS B STOLLER PHARMD

Pharmacist (Critical Care)

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 588-6402

DR. REBECCA NICHOLE MAHON PHD. DABR

Radiology (Radiological Physics)

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 788-3000

CAROL A GORDEN CRNA

Nurse Anesthetist, Certified Registered

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 788-3754

MEMORIAL HOME SERVICES

Hospice Care, Community Based

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 788-4663

DR. SWAPNA NEKKANTI M.D

Hospitalist

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 528-7541

ANN R LARSON CRNA

Nurse Anesthetist, Certified Registered

701 N 1ST ST, ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781

Sangamon County (217) 788-3754

KELSEY A WALLACE CRNA

Nurse Anesthetist, Certified Registered

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 788-3000

MEMORIAL MEDICAL CENTER

Clinic/Center (Multi-Specialty)

701 N 1ST ST
SPRINGFIELD, IL 62781

Sangamon County (217) 788-3000

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 Shyam Kiran Gandam Venkata's NPI number?

The NPI number for Shyam Kiran Gandam Venkata is 1629332754. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Shyam Kiran Gandam Venkata located?

Shyam Kiran Gandam Venkata practices at 701 N 1st St, Springfield, IL 62781. The listed phone number is (217) 528-7541.

What is Shyam Kiran Gandam Venkata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Shyam Kiran Gandam Venkata enrolled in Medicare?

Yes. Shyam Kiran Gandam Venkata 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 Shyam Kiran Gandam Venkata affiliated with any hospitals?

According to CMS data, Shyam Kiran Gandam Venkata is affiliated with St Johns Hospital, Memorial Medical Center and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shyam Kiran Gandam Venkata was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.