VENKATA C JAMPALA (MD) – Psychiatry Physician, NPI 1235138579
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
Provider Addresses for VENKATA C JAMPALA (MD)
20374 W BUCKTHORN CT
MUNDELEIN, IL 600603319
Phone: (937) 475-7809
Fax: (309) 623-2299
Type: Mailing
535 PARK AVE E
PRINCETON, IL 613562537
Phone: (815) 875-4531
Fax: (309) 623-2299
Type: Location
500, Coventry Lane, Crystal Lake, McHenry County, Illinois, 60014, United States
SUITE 205
CRYSTAL LAKE, IL 600147579
Phone: (815) 455-7100
Fax: (815) 455-3951
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040903001243 | I | Psychiatry | IL | TBD |
| I20180309001757 | I | Psychiatry | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 163 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 31 | $0 |
| Q3014 | Telehealth originating site facility fee | 71 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 18 | $0 |
Insurance plans in this area (ZIP 60060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Clinical Social Worker | IL | |
| - | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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