MASOOR KAMALESH M.D.
NPI 1689638595
Internal Medicine - Cardiovascular Disease in Effingham, IL
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
Specialties & Licenses 3
Other Identifiers 3
Accepted Insurance
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Masoor Kamalesh reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Effingham, IL 62401
- Reassigned Medicare billing, Illinois enrollment
- 104 clinicians in this Medicare group
Mattoon, IL 61938
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1912988734 (Illinois)
- 652 clinicians in this Medicare group
Salem, IL 62881
- Reassigned Medicare billing, Illinois enrollment
- 44 clinicians in this Medicare group
Springfield, IL 62704
- Reassigned Medicare billing, Illinois enrollment
- 101 clinicians in this Medicare group
Pittsfield, MA 01201
- Reassigned Medicare billing, Massachusetts enrollment
- 405 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 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.
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, ILSt Johns Hospital
Acute Care Hospitals · Springfield, ILSarah Bush Lincoln Health Center
Acute Care Hospitals · Mattoon, ILFayette County Hospital
Critical Access Hospitals · Vandalia, ILClay County Hospital
Critical Access Hospitals · Flora, ILPhysician 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.
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.
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.
Which organizations bill Medicare for Masoor Kamalesh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Masoor Kamalesh reassigns Medicare benefits to 5 organizations: St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third (Effingham, IL), Sarah Bush Lincoln Health Center (Mattoon, IL), Salem Township Hospital (Salem, IL), Prairie Cardiovascular Consultants Ltd (Springfield, IL) and Berkshire Faculty Services Inc (Pittsfield, MA). 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 Masoor Kamalesh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Masoor Kamalesh accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Medica 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, St Johns Hospital, Sarah Bush Lincoln Health Center, 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.