SHAKTHISHREE KANDASWAMY – Infectious Disease Physician, NPI 1427431147

SHAKTHISHREE KANDASWAMY is a healthcare provider. based in Springfield, Illinois. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold a License No. 125066454 (IL). The NPI Number for SHAKTHISHREE KANDASWAMY is 1427431147

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SHAKTHISHREE KANDASWAMY
NPI
1427431147
Phone
(217) 545-8000
Address
PO BOX 19636
Enumeration Date
30 June 2015
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6232440050
Graduation Year
2014 (12 years ago)
PAC ID
8527373208
Group Practice PAC ID
9133460694
Professional Enrollment ID
I20231208001337
Address ID
AZ853041258GL5601XAVEX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:10State licenses:3Digital endpointsOther names

475 INFECTIOUS DISEASE in IL

Provider Addresses for SHAKTHISHREE KANDASWAMY

  • PO BOX 19636

    SPRINGFIELD, IL 627949636

    Phone: (217) 545-8000

    Fax: (217) 545-4735

    Type: Mailing

  • 701 N 1ST ST

    SPRINGFIELD, IL 627023757

    Phone: (217) 545-8000

    Fax: (217) 545-4735

    Type: Location

  • 701 N 1st St

    Springfield, IL 627023757

    Phone: (217) 545-8000

    Fax: (217) 545-4735

    Type: Location

  • 20103 Lake Chabot Rd

    Castro Valley, CA 945465305

    Phone: (510) 727-3256

    Type: Location

  • 5601 W EUGIE AVE STE 204

    GLENDALE, AZ 853041258

    Phone: (623) 250-1419

    Type: Mailing

  • 325 DISTEL CIR

    LOS ALTOS, CA 940221408

    Phone: (510) 727-3256

    Type: Mailing

  • 20103 LAKE CHABOT RD

    CASTRO VALLEY, CA 945465305

    Phone: (510) 727-3256

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $523.

Total Amount is formed as General ($523) + Research ($0) + Ownership ($0) = $523.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ViiV Healthcare Company ($225).

Total Amount

$523

General + Research + Ownership

Payments

31

Total payment records

General Amount

$523

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2023-12-08

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
I20231208001337IInfectious DiseaseAZTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3914$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 62794)

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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: 9133460694View full group profile
NameSpecialtyState
Infectious DiseaseNY
-AZ
Infectious DiseaseAZ
Internal Medicine, Infectious DiseaseAZ
Infectious DiseaseIL
Infectious DiseaseAZ
Infectious DiseaseAZ

Reviews

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Frequently asked questions

Is SHAKTHISHREE KANDASWAMY listed with a National Provider Identifier?
Yes — SHAKTHISHREE KANDASWAMY has NPI 1427431147 on file in the registry.
Would SHAKTHISHREE KANDASWAMY appear as active to a payer?
You can treat SHAKTHISHREE KANDASWAMY as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SHAKTHISHREE KANDASWAMY?
SHAKTHISHREE KANDASWAMY is associated with Infectious Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHAKTHISHREE KANDASWAMY?
Travel planning: use Springfield, Illinois as the reference point for SHAKTHISHREE KANDASWAMY, then confirm.
What does 8 location(s) imply?
8 practice locations appear in the available data.

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