DR. SHYAM KIRAN GANDAM VENKATA MD
NPI 1629332754
Internal Medicine - Critical Care Medicine in Springfield, IL
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 maintains a secondary practice location in Bronx.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Shyam Kiran Gandam Venkata reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, IL 62769
- Reassigned Medicare billing, Illinois enrollment
- 99 clinicians in this Medicare group
Springfield, IL 62703
- Reassigned Medicare billing, Illinois enrollment
- 735 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 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Johns Hospital
Acute Care Hospitals · Springfield, ILMemorial Medical Center
Acute Care Hospitals · Springfield, ILTaylorville Memorial Hospital
Critical Access Hospitals · Taylorville, ILJacksonville Memorial Hospital
Critical Access Hospitals · Jacksonville, ILPhysician 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.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, IL 62781
SPRINGFIELD, IL 62781
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.
Which organizations bill Medicare for Shyam Kiran Gandam Venkata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shyam Kiran Gandam Venkata reassigns Medicare benefits to 2 organizations: Cep America Illinois Intensivists (Springfield, IL) and Springfield Clinic, LLP (Springfield, 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 Shyam Kiran Gandam Venkata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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, Taylorville Memorial Hospital 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 15 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.
# Dr. Shyam Kiran Gandam Venkata, MD · NPI 1629332754
Critical Care Medicine physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since July 3, 2012.
## Identity
- **NPI:** 1629332754 (Entity type: Individual)
- **Enumerated:** July 3, 2012
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 036143316 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 701 N 1ST ST, Springfield, IL 62781-2604
- **Phone:** (217) 528-7541 · **Fax:** (217) 606-3057
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America Illinois Intensivists (NPI 1013784586, Springfield, IL); Springfield Clinic, LLP (NPI 1780638478, Springfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629332754) · Data from the CMS NPPES public registry.