Kalugotla N. Shivaram, MD
NPI 1619959137ActiveIndividual· Emergency Medicine· Wentzville, MO
Emergency Medicine (MD) with Southeastern Emergency Physicians of Memphis LLC and 3 other groups, practicing in Wentzville, Missouri. 172 Medicare patients in 2024, $20,715 paid; nearly all of their 288 Part D prescriptions were generic (96%). Eko Health, Inc. reported $449.00 in payments in 2024, mostly device and supply loans. Lists Osf Saint Anthony's Health Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1619959137 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 18, 2005 |
| Last updated in NPPES | Oct 6, 2023 |
| Certified by provider | Oct 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 111383 | MO |
| Emergency Medicine | 207P00000X | 036086751 | IL |
| Emergency Medicine, Pediatric Emergency Medicine | 207PP0204X | 111383 | MO |
| Pediatrics | 208000000X | 111383 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (IL); Practitioner - Emergency Medicine (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 172 |
|---|---|
| Services billed | 189 across 9 procedure codes |
| Paid by Medicare | $20,715 |
Part D prescriptions in 2024
| Prescriptions (claims) | 288 · 305 30-day fills |
|---|---|
| Patients | 180 |
| Total drug cost | $4,902 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Emergency Medicine |
| Secondary specialties | Pediatric Medicine |
Medical groups
- Southeastern Emergency Physicians of Memphis LLCFarmington, MO · 94 clinicians
- Ahs Il Medical Group LLCGranite City, IL · 45 clinicians
- Potosi Emergency Group, LLCPotosi, MO · 19 clinicians
- Alton-Griffin Emergency Group PCAlton, IL · 18 clinicians
Hospital affiliations
- Osf Saint Anthony's Health CenterAlton, IL
- Parkland Health Center - Bonne TerreBonne Terre, MO
- Washington County Memorial HospitalPotosi, MO
Industry payments (Open Payments)
- 2024$449.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Eko Health, Inc. | $449.00 | 1 |
What the 2024 payments were for
- Long term medical supply or device loan$449.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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