DR. AVANI GANTA M.B.B.S
NPI 1538689054
Pediatrics - Pediatric Endocrinology in Springfield, IL
NPI Status: Active since June 26, 2017
Contact Information
400 N 9TH ST FL 4
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000
- Individual
- Female
- Pediatrics
- Pediatric Endocrinology
- Accepts Insurance
- PECOS Enrolled
About AVANI GANTA
This page provides the complete NPI Profile along with additional information for Avani Ganta, a pediatrician established in Springfield, Illinois with a medical specialization in Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1538689054 assigned on June 2017. The practitioner's primary taxonomy code is 2080P0205X with license number LP04881 (RI). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1538689054
- Provider Name
- DR. AVANI GANTA M.B.B.S
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702
- Location Phone
- (217) 545-8000
- Mailing Address
- 201 E MADISON ST STE 328 SPRINGFIELD, IL 62702
- Mailing Phone
- (217) 545-8000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-26-2017
- Last Update Date
- 06-13-2023
- Code Navigator
A pediatrician like Avani Ganta is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 593 Eddy St
Providence, RI 02903
(401) 444-8450 - 185 S Orange Ave # Msbf-603
Newark, NJ 07103
(973) 972-0740
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Endocrinology
- Taxonomy Code
- 2080P0205X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- LP04881
- License State
- RI
- Taxonomy Description
- A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Avani Ganta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 62702 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.46
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $31.86
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. AVANI GANTA M.B.B.S
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 6 | 8 | 9 | 0 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 12 | 8 | 18 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 1 + 2 + 8 + 1 + 8 + 0 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1538689054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811559172 | AFREEN ABRAHAM MD Individual | Pediatrics | 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702 (217) 545-8000 |
| 1871986414 | MS. RACHEL HOSELTON NP Individual | Nurse Practitioner (Pediatrics) | 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702 (217) 545-8000 |
| 1083103220 | DANIELLE JEAN KEY PSY.D Individual | Psychologist (Clinical) | 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702 (217) 545-8000 |
| 1992363469 | DOUGLAS EDWIN MEYER DO Individual | Pediatrics | 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702 (217) 545-8000 |
| 1194387720 | MARIHA KHAN Individual | Pediatrics | 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702 (217) 545-8000 |
| 1407376122 | DR. JENNA GOECKNER MD Individual | Pediatrics | 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702 (217) 545-8000 |
| 1285617456 | MICHELLE M MINER MD Individual | Pediatrics | 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702 (217) 545-8000 |
| 1407820731 | JAMES BERMAN MD Individual | Pediatrics (Pediatric Gastroenterology) | 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702 (217) 545-8000 |
| 1972543080 | HOSSAM HAMDI ABDELSALAM M.D. Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702 (217) 545-8000 |
| 1578741922 | IBRAHIM MAKKI BINALSHEIKH Individual | Psychiatry & Neurology (Neurology) | 400 N 9TH ST FL 4 SPRINGFIELD, IL 62702 (217) 545-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538689054, enumerated in the NPI registry as an "individual" on June 26, 2017
The provider is located at 400 N 9th St Fl 4 Springfield, Il 62702 and the phone number is (217) 545-8000
The provider's speciality is Pediatrics with taxonomy code 2080P0205X with a focus in Pediatric Endocrinology
The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $127.46 with an average copayment of $31.86 for new patient appointments. Established patients should expect a typical charge of $97.25 and an average copayment of 24.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 26, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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