MASOOR KAMALESH M.D.
NPI 1689638595
Internal Medicine - Cardiovascular Disease in Effingham, IL

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
503 N MAPLE ST, EFFINGHAM, IL 62401(217) 342-3700(217) 342-6286 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2021, Jun 8, 2020, Jan 18, 2019 (3 updates tracked since 2019).

About Masoor Kamalesh M.d. NPPES

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

MASOOR KAMALESH M.D. (NPI 1689638595) is an individual cardiovascular disease provider in Effingham, Illinois, licensed in Illinois (036.101397) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1689638595
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMASOOR KAMALESHCredential: M.D.
Location Address503 N MAPLE STEffingham, IL 62401-2006
Mailing Address503 N Maple StEffingham, IL 62401-2006 · (217) 342-3700
Fax(217) 342-6286
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateApril 17, 2006
Last NPPES UpdateDecember 28, 20213 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
NPI 1689638595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in IL · 036.101397 Licensed in IN · 01054786
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 01054786A (IN)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 01054786A (IN)
503 N MAPLE ST, Effingham, IL 62401

Other Identifiers 3

Other060070329IN · Railroad Medicare
OtherM47140345IN · Medicare Ptan
Medicaid200370980IN

Accepted Insurance

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

Masoor Kamalesh M.d. 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 ID8022187772
PECOS Enrollment IDI20200528002185
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 20

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,157 services884 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
713 services582 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
590 services578 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
251 services226 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
190 services190 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
190 services190 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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
$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 20

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

Emergency Medicine
503 N MAPLE ST
EFFINGHAM, IL 62401
Occupational Therapist
503 N MAPLE ST
EFFINGHAM, IL 62401
Emergency Medicine
503 N MAPLE ST
EFFINGHAM, IL 62401
Nurse Practitioner (Family)
503 N MAPLE ST
EFFINGHAM, IL 62401
Hospitalist
503 N MAPLE ST
EFFINGHAM, IL 62401
Nurse Anesthetist, Certified Registered
503 N MAPLE ST
EFFINGHAM, IL 62401
Hospitalist
503 N MAPLE ST
EFFINGHAM, IL 62401
General Acute Care Hospital
503 N MAPLE ST
EFFINGHAM, IL 62401

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 Masoor Kamalesh's NPI number?

The NPI number for Masoor Kamalesh is 1689638595. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Masoor Kamalesh located?

Masoor Kamalesh practices at 503 N Maple St, Effingham, IL 62401. The listed phone number is (217) 342-3700.

What is Masoor Kamalesh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Masoor Kamalesh enrolled in Medicare?

Yes. Masoor Kamalesh 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.

What insurance does Masoor Kamalesh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Masoor Kamalesh 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 Masoor Kamalesh affiliated with any hospitals?

According to CMS data, Masoor Kamalesh is affiliated with St Anthonys Memorial Hospital, Sarah Bush Lincoln Health Center, Salem Township Hospital, Fayette County Hospital and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Masoor Kamalesh was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.