Dr Pramod Mallipaddi, MD - Medicare Pediatrics in Urbana, IL

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Dr Pramod Mallipaddi, MD is a medicare enrolled "Pediatrics" physician in Urbana, Illinois. His current practice location is 611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 383-3311.

Dr Pramod Mallipaddi is licensed to practice in Illinois (license number 036147159) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083817886.

Contact Information

Dr Pramod Mallipaddi, MD
611 W Park St,
Urbana, IL 61801-2529
(217) 383-3311
Not Available

Map and Direction




Physician's Profile

Full NameDr Pramod Mallipaddi
GenderMale
SpecialityPediatrics
Location611 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083817886
  • Provider Enumeration Date: 06/08/2007
  • Last Update Date: 03/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486821295
  • Enrollment ID: I20181219000000

Medical Identifiers

Medical identifiers for Dr Pramod Mallipaddi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083817886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 11730 (North Dakota)Secondary
208000000XPediatrics 4301085525 (Michigan)Secondary
208000000XPediatrics 036147159 (Illinois)Primary

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 Pramod Mallipaddi allows following entities to bill medicare on his behalf.
Entity NameHoopeston Community Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366480873
PECOS PAC ID: 3577456037
Enrollment ID: O20040210000011
Entity NameRichland Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467492124
PECOS PAC ID: 3870565732
Enrollment ID: O20040811000131
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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 Pramod Mallipaddi 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 Pramod Mallipaddi, MD
611 W. Park, Fapc,
Urbana, IL 61801

Ph: () -		Dr Pramod Mallipaddi, MD
611 W Park St,
Urbana, IL 61801-2529

Ph: (217) 383-3311

Reviews and Comments


Pediatrics Doctors in Urbana, IL

Dr. Jacqueline Pena Velasco, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3088    Fax: 217-383-4468
Sarah J Willard, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1710 E Windsor Rd, Urbana, IL 61802
Phone: 217-344-9440    Fax: 217-344-4377
Dr. Elizabeth A Bello, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Pediatric Critical Care Medicine, Urbana, IL 61801
Phone: 217-383-3088    
Malcolm C Hill, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1818 E Windsor Rd, Urbana, IL 61802
Phone: 217-255-9700    Fax: 217-255-9650
Dr. Imran Malik, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1400 W Park St, Urbana, IL 61801
Phone: 315-350-9133    
William C Stratton, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 611 W. Park Street, Neonatology, Urbana, IL 61801
Phone: 217-383-3395    Fax: 217-383-3463

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.