DR. SUMANTH GANDRA (MD) – Internal Medicine Physician, NPI 1669640611
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
475 INFECTIOUS DISEASE in IL
Provider Addresses for DR. SUMANTH GANDRA (MD)
UNIVERSITY OF ILLINOIS COLLEGE OF
530 N.E. GLEN OAK AVE
PEORIA, IL 616370001
Phone: (309) 655-3927
Type: Location
828, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61603, United States
APT#203
PEORIA, IL 616033285
Phone: (859) 536-4795
Type: Mailing
620 S TAYLOR AVE
DIV IM INFECTIOUS DISEASE, STE 100
SAINT LOUIS, MO 631101035
Phone: (314) 362-9098
Fax: (314) 362-9851
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-9098
Fax: (314) 362-9851
Type: Mailing
660 S EUCLID AVE
CB 8051
SAINT LOUIS, MO 631101010
Phone: (314) 362-9098
Fax: (314) 362-9851
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: 2019-01-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190103000339 | I | Infectious Disease | MO | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 64 | 36 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 39 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 61637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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