Gopinathan Gangadharan Nambiar, in Springfield, IL

Gopinathan Gangadharan Nambiar, is a medicare enrolled "Pediatrics" physician in Springfield, Illinois. His current practice location is 2901 Old Jacksonville Rd, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 698-9722.

Gopinathan Gangadharan Nambiar is licensed to practice in Illinois (license number 036142874) 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 1013395250.

Contact Information

	Gopinathan Gangadharan Nambiar,
	2901 Old Jacksonville Rd, Springfield, IL 62704-7437
	(217) 698-9722
	(217) 391-0392

Map and Direction

Physician's Profile

Full Name	Gopinathan Gangadharan Nambiar
Gender	Male
Speciality	Pediatrics
Location	2901 Old Jacksonville Rd, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013395250
Provider Enumeration Date: 05/07/2015
Last Update Date: 07/16/2025

Medicare PECOS Information:

PECOS PAC ID: 5092088302
Enrollment ID: I20220630001186

Medical Identifiers

Medical identifiers for Gopinathan Gangadharan Nambiar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013395250	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	64787 (Tennessee)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	64787 (Tennessee)	Secondary
208000000X	Pediatrics	036142874 (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. Gopinathan Gangadharan Nambiar allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

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. Gopinathan Gangadharan Nambiar 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 Address	Practice Location Address
Gopinathan Gangadharan Nambiar, 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 Ph: (217) 698-9722	Gopinathan Gangadharan Nambiar, 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 Ph: (217) 698-9722

Reviews and Comments

Pediatrics Doctors in Springfield, IL

Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Claudine Gillison, Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541
Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654
John Padanilam, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N 9th St # 4a, Springfield, IL 62702 Phone: 217-545-8000
Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541

Gopinathan Gangadharan Nambiar, - Medicare Pediatrics in Springfield, IL