DR. SRIKANTH MARKAPURAM MD
NPI 1720343072
Hospitalist in Springfield, IL

NPI Status: Active since July 11, 2012

Contact Information

800 E CARPENTER ST
SPRINGFIELD, IL
ZIP 62769
Phone: (217) 544-6464
Fax: (217) 757-6805

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  • Individual
  • Male
  • Years of Experience 17
  • Hospitalist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SRIKANTH MARKAPURAM

This page provides the complete NPI Profile along with additional information for Srikanth Markapuram, a provider established in Springfield, Illinois with a medical specialization in Hospitalist and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1720343072 assigned on July 2012. The practitioner's primary taxonomy code is 208M00000X with license number 036054967 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1720343072
Provider Name
DR. SRIKANTH MARKAPURAM MD
Gender
Male
Entity Type
Individual
Location Address
800 E CARPENTER ST SPRINGFIELD, IL 62769
Location Phone
(217) 544-6464
Location Fax
(217) 757-6805
Mailing Address
1900 N HIGLEY ROAD ATTN: HOSPITALISTS GILBERT, AZ 85234
Mailing Phone
(480) 543-2034
Mailing Fax
(217) 757-6805
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
Yes
Enumeration Date
07-11-2012
Last Update Date
12-22-2021
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Location Map

Secondary Locations

  • 1500 SOUTH CALIFORNIA AVENUE
    CHICAGO, IL 60608
    (773) 542-2000

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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
036054967
License State
IL
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

50110 (AZ)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

125061461 (IL)
3208M00000XAllopathic & Osteopathic Physicians

Hospitalist

50110 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • 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

Srikanth Markapuram is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Srikanth Markapuram 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

  • PECOS PAC ID: 2567770589

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190114000214

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    4 DME suppliers used 23 Medicare Claims 23 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    6 DME suppliers used 34 Medicare Claims 34 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 30 times for 20 patients

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 38 times for 18 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 188 times for 91 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 932 times for 304 patients

Follow-up observation care per day, typically 35 minutes

Follow-up observation care is a daily check-up service that lasts about 35 minutes. It involves monitoring your health progress after a treatment or procedure. The care team assesses your recovery and addresses any concerns or questions you may have.

This service was performed 49 times for 28 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 138 times for 137 patients

Hospital observation care on day of discharge

Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.

This service was performed 20 times for 20 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 92 times for 91 patients

Initial hospital observation care per day, typically 70 minutes

This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.

This service was performed 12 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.86 for a new patient copayment and $24.31 for an established patient copayment.

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 62769 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Srikanth Markapuram is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST JOHNS HOSPITAL800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464Acute Care Hospitals
MEMORIAL MEDICAL CENTER701 N FIRST ST
SPRINGFIELD, IL 62702
(217) 788-3000Acute Care Hospitals

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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.
1720343072
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740646014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 6 + 4 + 6 + 0 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1720343072 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215908850 PATRICK R HEMMER M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1043252224DR. ONSI W KAMEL M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1396789624DR. LENA SCHERBA M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1780611566DR. PAUL A KAY M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1699702423DR. STEPHEN W BELL M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1740205699CENTRAL ILLINOIS EMERGENCY PHYSICIANS, LLP
Organization
Emergency Medicine800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1669497913 DANILO OFRENEO M.D.
Individual
Emergency Medicine800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1629095187 EDITH FRALEY M.D., FACEP
Individual
Emergency Medicine800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 464-2966
1902823503 ROBERT SLIWA D.O.
Individual
Emergency Medicine800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1073526091 CATHY L. CLAUSEN M.D.
Individual
Radiology (Radiation Oncology)800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 525-5666
1073677753 ELIZABETH K DENNISS N.P.
Individual
Nurse Practitioner800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1174707467 JULIE J GREEN OTR/L
Individual
Occupational Therapist800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1538344056MRS. BRENDA JOY VAIL P.T.
Individual
Physical Therapist (Pediatrics)800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1245418649 TARA MARIE NELSON OTR/L
Individual
Occupational Therapist (Pediatrics)800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1093978892 SHELLEY RAE DAIGH CRNA
Individual
Nurse Anesthetist, Certified Registered800 E CARPENTER ST ROOM 2K64
SPRINGFIELD, IL 62769
(217) 525-5643
1255588828 SANDRA KAY POTTER PA(ASCP)
Individual
Physician Assistant (Surgical)800 E CARPENTER ST ST. JOHN'S HOSPITAL - DEPARTMENT OF PATHOLOGY
SPRINGFIELD, IL 62769
(217) 544-6464
1861638546 KAYCI DAWN LEFLORE CRNA
Individual
Nurse Anesthetist, Certified Registered800 E CARPENTER ST ROOM 2K64
SPRINGFIELD, IL 62769
(217) 525-5643
1760628457 CURTIS L. BAKER CRNA
Individual
Nurse Anesthetist, Certified Registered800 E CARPENTER ST ROOM 2K64
SPRINGFIELD, IL 62769
(217) 525-5643
1821226390DR. ANASUYA SOUMYA BRAHMAMDAM M.D.
Individual
Internal Medicine800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464
1043510118MISS ASHLEY NICOLE TILL OTR/L
Individual
Occupational Therapist800 E CARPENTER ST
SPRINGFIELD, IL 62769
(217) 544-6464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720343072, enumerated in the NPI registry as an "individual" on July 11, 2012

The provider is located at 800 E Carpenter St Springfield, Il 62769 and the phone number is (217) 544-6464

The provider's speciality is Hospitalist with taxonomy code 208M00000X

The provider has more than 17 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. 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.

The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Follow-up observation care per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes, Hospital observation care on day of discharge, Initial hospital inpatient care per day, typically 70 minutes and Initial hospital observation care per day, typically 70 minutes.

The practitioner is affiliated to the following hospital(s): ST JOHNS HOSPITAL and MEMORIAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 11, 2012. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.