Dr Kalugotla N Shivaram, MD - Medicare Emergency Medicine in Wentzville, MO

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Dr Kalugotla N Shivaram, MD is a medicare enrolled "Emergency Medicine" physician in Wentzville, Missouri. He graduated from medical school in 1989 and has 37 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Sanburg Emergency Group, P.c., Southeastern Emergency Physicians Of Memphis Llc, Ahs Il Medical Group Llc, Alton-griffin Emergency Group Pc, Potosi Emergency Group, Llc, Southeastern Emergency Physicians Of Memphis Llc and his current practice location is 1111 W Pearce Blvd, Wentzville, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 887-4288.

Dr Kalugotla N Shivaram is licensed to practice in Missouri (license number 111383) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1619959137.

Contact Information

Dr Kalugotla N Shivaram, MD
1111 W Pearce Blvd,
Wentzville, MO 63385-1020
(636) 887-4288
(636) 639-2368

Map and Direction




Physician's Profile

Full NameDr Kalugotla N Shivaram
GenderMale
SpecialityEmergency Medicine
Experience37 Years
Location1111 W Pearce Blvd, Wentzville, Missouri
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kalugotla N Shivaram graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1619959137
  • Provider Enumeration Date: 11/18/2005
  • Last Update Date: 10/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103850797
  • Enrollment ID: I20051005001009

Medical Identifiers

Medical identifiers for Dr Kalugotla N Shivaram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619959137NPI-NPPES
207245606MedicaidMO
036086751MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036086751 (Illinois)Secondary
207PP0204XEmergency Medicine - Pediatric Emergency Medicine 111383 (Missouri)Secondary
207P00000XEmergency Medicine 111383 (Missouri)Primary
208000000XPediatrics 111383 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osf Saint Anthony's Health CenterAlton, ILHospital
Parkland Health CenterFarmington, MOHospital
Carlinville Area HospitalCarlinville, ILHospital
Gateway Regional Medical CenterGranite city, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanburg Emergency Group, P.c.468800395716
Southeastern Emergency Physicians Of Memphis Llc539564320976
Ahs Il Medical Group Llc549611167651
Alton-griffin Emergency Group Pc731516710315
Potosi Emergency Group, Llc064858854110
Southeastern Emergency Physicians Of Memphis Llc539564320976

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kalugotla N Shivaram allows following entities to bill medicare on his behalf.
Entity NameCarlinville Area Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932275641
PECOS PAC ID: 9032021373
Enrollment ID: O20031104000520
Entity NameCarlinville Area Hospital Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1053425124
PECOS PAC ID: 9032021373
Enrollment ID: O20080422000666
Entity NameAlton-griffin Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891104824
PECOS PAC ID: 7315167103
Enrollment ID: O20140929002428
Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20150520001245
Entity NameSanburg Emergency Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992337000
PECOS PAC ID: 4688003957
Enrollment ID: O20200408000461
Entity NameAhs Il Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659098101
PECOS PAC ID: 5496111676
Enrollment ID: O20230512001300

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kalugotla N Shivaram is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kalugotla N Shivaram, MD
842 Bellerive Manor Dr,
Creve Coeur, MO 63141-3201

Ph: (636) 887-4288		Dr Kalugotla N Shivaram, MD
1111 W Pearce Blvd,
Wentzville, MO 63385-1020

Ph: (636) 887-4288

Reviews and Comments


Emergency Medicine Doctors in Wentzville, MO

Nancy E Noel, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 500 Medical Dr, Wentzville, MO 63385
Phone: 636-327-1000    
Dr. Desh V Anand, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1111 W. Pearce Blvd., Wentzville, MO 63385
Phone: 636-887-4288    Fax: 636-639-2368
Christina Lyn Hatfield, RN
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 500 Medical Dr, Wentzville, MO 63385
Phone: 636-327-1101    
Kerry E Florence, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 500 Medical Dr, Wentzville, MO 63385
Phone: 636-327-1100    
Dr. Sudheer C Atluri, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1111 W. Pearce Blvd., Wentzville, MO 63385
Phone: 636-887-4288    Fax: 636-639-2368
Andrew Thomas Gelven, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385
Phone: 636-332-8455    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.