PRASAD V KANDULA (M.D.) – Interventional Cardiology Physician, NPI 1164518460

PRASAD V KANDULA (M.D.) is a healthcare provider. based in Belleville, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036086651 (IL). The NPI Number for PRASAD V KANDULA (M.D.) is 1164518460

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
PRASAD V KANDULA (M.D.)
NPI
1164518460
Phone
(618) 233-3066
Address
4600 MEMORIAL DR STE W1
Enumeration Date
5 October 2006
Last Update Date
29 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6186073900
Graduation Year
1984 (42 years ago)
PAC ID
9234152505
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20060112000662
Address ID
IL622692988SH1418XSTXX302

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
pkandula104661@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness95
Years active:19State licenses:1Other names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for PRASAD V KANDULA (M.D.)

  • 4600 MEMORIAL DR STE W1

    BELLEVILLE, IL 622265359

    Phone: (618) 233-3066

    Type: Location

  • 3 Saint Elizabeth Blvd

    O Fallon, IL 622691281

    Phone: (618) 233-6044

    Fax: (618) 233-5195

    Type: Location

  • 310 N Seven Hills Rd

    Suite 150

    O Fallon, IL 622694111

    Phone: (618) 632-1495

    Fax: (618) 628-0480

    Type: Location

  • 310, North Seven Hills Road, O'Fallon, Saint Clair County, Illinois, 62269, United States

    SUITE 150

    O FALLON, IL 622694111

    Phone: (618) 632-1495

    Fax: (618) 628-0480

    Type: Mailing

  • 3 SAINT ELIZABETH BLVD

    O FALLON, IL 622691281

    Phone: (618) 233-6044

    Fax: (618) 233-5195

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 268 Open Payments records for all available years, with a total value of $4,791.

Total Amount is formed as General ($4,791) + Research ($0) + Ownership ($0) = $4,791.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($631).

Total Amount

$4,791

General + Research + Ownership

Payments

268

Total payment records

General Amount

$4,791

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060112000662ICardiovascular Disease (Cardiology)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2,1541,519$0
99214Established patient office or other outpatient visit, 30-39 minutes1,183677$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function502485$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes364128$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report316278$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

Loading plans...

Provider's Procedures

PRASAD V KANDULA (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies182182
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart9594

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
Hospitalist, Gastroenterology, GastroenterologyTX
-MO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check PRASAD V KANDULA (M.D.) using NPI 1164518460?
NPI 1164518460 belongs to PRASAD V KANDULA (M.D.); compare other details if you need extra assurance.
Is PRASAD V KANDULA (M.D.) shown as active in public data?
Registry records indicate PRASAD V KANDULA (M.D.) maintains an active NPI.
What area of care is associated with PRASAD V KANDULA (M.D.)?
PRASAD V KANDULA (M.D.)'s record emphasizes Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is PRASAD V KANDULA (M.D.) registered?
Use Belleville, Illinois as the headline location for PRASAD V KANDULA (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

Box Canyon Drive, Las Vegas, Clark County, Nevada, 89108-4577, United States
NPI: 1972503878

DR. CHIKEZIE CHIDIEBERE AMADI (M.D.)

Interventional Cardiology Physician
1508 N ZARAGOZA RD
NPI: 1487616918

MR. PRAMOD VIJAYAGOPAL MENON (M.D.)

Interventional Cardiology Physician
1810 LINDBERG DR STE 2100
NPI: 1588620611

DR. JAMES SANGYOP LEE (M.D)

Interventional Cardiology Physician
340 W Lincoln St
NPI: 1811932148

HATIM A MAHMOOD (M.D.)

Cardiovascular Disease Physician
4500 MEMORIAL DRIVE CREDENTIALING DEPARTMENT
NPI: 1174556583

DR. ATUL KUKAR (D.O.)

Cardiovascular Disease Physician
PO BOX 20970
NPI: 1225054984
200 MEDICAL CARE WAY
NPI: 1508883133

CYNTHIA L KUES (ANP)

Nurse Practitioner
200 HEALTH CARE DR STE 1501
NPI: 1578582441