DR. KALUGOTLA N SHIVARAM (MD) – Emergency Medicine Physician, NPI 1619959137
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,351 EMERGENCY MEDICINE in MO
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Provider Addresses for DR. KALUGOTLA N SHIVARAM (MD)
842, Bellerive Manor Drive, Fernridge, Creve Coeur, Saint Louis County, Missouri, 63141, United States
CREVE COEUR, MO 631413201
Phone: (636) 887-4288
Type: Mailing
Our Urgent Care, 1111, West Pearce Boulevard, Wentzville, Saint Charles County, Missouri, 63385, United States
WENTZVILLE, MO 633851020
Phone: (636) 887-4288
Fax: (636) 639-2368
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $449.
Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.
Last reported payment date: 2024-01-08 • Largest payer in this snapshot: Eko Health, Inc. ($449).
Total Amount
$449
General + Research + Ownership
Payments
1
Total payment records
General Amount
$449
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eko Health, Inc. | $449 |
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: 2005-12-30
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 |
|---|---|---|---|---|
| I20051005001009 | I | Emergency Medicine | IL | TBD |
| I20051230000100 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 114 | 111 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 88 | 86 | $0 |
| 99291 | Critical care, first 30-74 minutes | 39 | 38 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 35 | 35 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine, Emergency Medicine | MO | |
| Family Practice, Emergency Medicine | IN | |
| Emergency Medicine | MO | |
| Emergency Medicine, Family Practice | MO | |
| Emergency Medicine | MO | |
| Family Practice | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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