VINODA SHANTHAPPA (MD) – Internal Medicine Physician, NPI 1518986512

VINODA SHANTHAPPA (MD) is a healthcare provider. based in Peoria, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 36114697 (IL). The NPI Number for VINODA SHANTHAPPA (MD) is 1518986512

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
VINODA SHANTHAPPA (MD)
NPI
1518986512
Phone
(309) 672-5729
Address
METHODIST MEDICAL CTR
Enumeration Date
19 July 2006
Last Update Date
17 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
8729082805
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20060901000060
Address ID
IL616360001PE221XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for VINODA SHANTHAPPA (MD)

  • UnityPoint Health - Methodist, 221, Northeast Glen Oak Avenue, Roanoke-Randolph Street Historic District, Peoria, Peoria County, Illinois, 61636, United States

    221.NE GLEN OAK AVE

    PEORIA, IL 616360002

    Phone: (309) 672-5729

    Fax: (309) 672-5772

    Mailing address matches the actual address.

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: 2006-09-01

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
I20060901000060IInternal MedicineILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes425164$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes311127$0
99239Hospital discharge day management, more than 30 minutes115114$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7876$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4241$0
View full utilization report →

Insurance plans in this area (ZIP 61636)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

Is there an official ID for VINODA SHANTHAPPA (MD) in U.S. healthcare records?
The official identifier for VINODA SHANTHAPPA (MD) is NPI 1518986512.
Is there an active status for VINODA SHANTHAPPA (MD)?
For scheduling context, VINODA SHANTHAPPA (MD) is shown as active in the registry.
What area of care is associated with VINODA SHANTHAPPA (MD)?
VINODA SHANTHAPPA (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is VINODA SHANTHAPPA (MD) registered?
Use Peoria, Illinois as the headline location for VINODA SHANTHAPPA (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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