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HITANSHU CHAWLA M.D.
NPI 1942645692
Internal Medicine in Mount Vernon, IL

Active since May 08, 2013PECOS EnrolledAccepts Medicare Assignment
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 899-4600 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hitanshu Chawla M.d. NPPES

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

HITANSHU CHAWLA M.D. (NPI 1942645692) is an individual internal medicine provider in Mount Vernon, Illinois, licensed in Illinois (036139619) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1942645692
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHITANSHU CHAWLACredential: M.D.
Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402
Mailing Address19 Relton CircleBrampton, ONTARIO L6P3Z1 · (207) 838-9578
Phone(618) 899-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 8, 2013
Last NPPES UpdateAugust 2, 2016
✔ NPI 1942645692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036139619
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864
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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

Hitanshu Chawla 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 ID6901108323
PECOS Enrollment IDI20161024000470
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hitanshu Chawla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Mary's Hospital, Centralia, Illinois
18 mi
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
NPI 1477097871 (618) 436-6056
Sound Physicians Of Illinois, LLC
87 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000

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 5

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.
342 services147 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.
114 services110 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.
62 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Osf Sacred Heart Medical Center

Acute Care Hospitals · Danville, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140093
Location812 N Logan AveDanville, IL 61832 · Vermilion County
Emergency services Birthing friendly

Osf Heart Of Mary Medical Center

Acute Care Hospitals · Urbana, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140113
Location1400 West Park AvenueUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$16.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$80.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. EMMANUEL LOUTRIANAKIS MD
Internal Medicine (Interventional Cardiology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (847) 736-0506
DR. QING KEVIN LUO M.D.
Internal Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4600
GOOD SAMARITAN REGIONAL HEALTH CENTER
Rehabilitation Unit
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4600
ADELAIDE HORCHER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4600
MRS. JILL CLARKE PHARM. D.
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3426
KENT S QUINN MD
Radiology (Body Imaging)
1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4600
GOOD SAMARITAN REGIONAL HEALTH CENTER
Specialist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4600
DEREK BURNS PHARMD
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3426

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 Hitanshu Chawla's NPI number?

The NPI number for Hitanshu Chawla is 1942645692. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Where is Hitanshu Chawla located?

Hitanshu Chawla practices at 1 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 899-4600.

What is Hitanshu Chawla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hitanshu Chawla enrolled in Medicare?

Yes. Hitanshu Chawla 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 Hitanshu Chawla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hitanshu Chawla reassigns Medicare benefits to 2 organizations: St. Mary's Hospital, Centralia, Illinois (Centralia, IL) and Sound Physicians Of Illinois, LLC (Bridgeton, MO). 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 Hitanshu Chawla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hitanshu Chawla affiliated with any hospitals?

According to CMS data, Hitanshu Chawla is affiliated with Carle Foundation Hospital, Osf Sacred Heart Medical Center and Osf Heart Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Hitanshu Chawla was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.