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DR. SOBHANA KRISHNA POTLURI MD
NPI 1801419304
Hospitalist in Belleville, IL

Active since May 19, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 257-6220 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sobhana Krishna Potluri Md NPPES

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

DR. SOBHANA KRISHNA POTLURI MD (NPI 1801419304) is an individual hospitalist provider in Belleville, Illinois, licensed in Illinois (036163139) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1801419304
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SOBHANA KRISHNA POTLURICredential: MD
Location Address4500 MEMORIAL DRBelleville, IL 62226-5360
Mailing Address4500 Memorial DrBelleville, IL 62226-5360 · (618) 257-6220
Phone(618) 257-6220
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 19, 2020
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1801419304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036163139
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036163139 (IL)
4500 MEMORIAL DR, Belleville, IL 62226
Open in Google Maps ↗

Secondary Practice Location 1

Location 1611 W Park StUrbana, IL 61801-2529 · Phone (518) 867-5235

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. Sobhana Krishna Potluri 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 ID3072938513
PECOS Enrollment IDI20230913002260, I20250612002081
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 6

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
372 services183 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
255 services108 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
157 services151 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
58 services57 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services36 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.92
Promoting Interoperability100
Improvement Activities40

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.

CEP AMERICA - ILLINOIS SNF, LLP
Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
MS. LAUREN NICOLE MARSHALL FNP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-5455
MR. LITO T RUFIN NP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
KIM C WRIGLEY P.A.
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
BRIAN BENDEL
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (561) 623-2008
DR. PAUL D SANDER MD
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
St. Clair County (618) 257-4076
DR. NEIL MCCLYMONT D.O.
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
DR. VIBHU DHAWAN MD
Internal Medicine
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220

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 Sobhana Potluri's NPI number?

The NPI number for Sobhana Potluri is 1801419304. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Sobhana Potluri located?

Sobhana Potluri practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 257-6220.

What is Sobhana Potluri's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sobhana Potluri enrolled in Medicare?

Yes. Sobhana Potluri 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 Sobhana Potluri affiliated with any hospitals?

According to CMS data, Sobhana Potluri is affiliated with Hca Florida Lake City Hospital, Hca Florida North Florida Hospital and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sobhana Potluri was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.