KAVYA SHIVARAM MD
NPI 1689569105
Dermatology in Springfield, IL

Active since June 12, 2025PECOS Enrolled
751 N RUTLEDGE ST STE 2300, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kavya Shivaram Md NPPES

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

KAVYA SHIVARAM MD (NPI 1689569105) is an individual dermatology provider in Springfield, Illinois, licensed in Illinois (125086214) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689569105
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKAVYA SHIVARAMCredential: MD
Location Address751 N RUTLEDGE ST STE 2300Springfield, IL 62702-4968
Mailing AddressPo Box 19644Springfield, IL 62794-9644 · (217) 545-8000
Sole ProprietorNo
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
NPI 1689569105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 125086214
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
751 N RUTLEDGE ST STE 2300, Springfield, IL 62702

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Internal Medicine (Rheumatology)
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Internal Medicine (Infectious Disease)
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702
Dermatology
751 N RUTLEDGE ST STE 2300
SPRINGFIELD, IL 62702

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 Kavya Shivaram's NPI number?

The NPI number for Kavya Shivaram is 1689569105. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Kavya Shivaram located?

Kavya Shivaram practices at 751 N Rutledge St Ste 2300, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Kavya Shivaram's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kavya Shivaram enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kavya Shivaram was last updated on June 12, 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.