Active NPI
Venkata C Jampala, MD
- Psychiatry Physician
- Princeton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036063756
- Practice address
- 535 Park Ave E
Princeton, IL 61356-2537 - Phone
- (815) 875-4531
- Fax
- (309) 623-2299
- NPI assigned
- Jul 19, 2005
- Last updated
- Apr 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036063756 | IL | Primary |
Addresses
Primary practice location
535 Park Ave E
Princeton, IL 61356-2537
Mailing address
20374 W Buckthorn CT
Mundelein, IL 60060-3319
Phone (937) 475-7809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036063756 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Osf Healthcare System
Practice addresses (Care Compare)
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141
2028 N Seminary Ave
Woodstock, IL 60098-2626
Phone (815) 338-3590
330 SW Adams St
Peoria, IL 61602-1502
Phone (309) 655-2877
535 Park Ave E
Princeton, IL 61356-2537
Phone (815) 875-4531
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036069756 | IL | MD | Cardiovascular Disease Physician |
| 036063756 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current | Accepting new patients | |
| NPI 1184744625 | Current | Accepting new patients | |
| Grand Prairie Services | Current | Accepting new patients | |
| Grand Prairie Services | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Independence Health & Therapy | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Grand Prairie Services | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Crawford County CCS | Past | Accepting new patients |
Locations
19530 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-2200
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811
535 Park Ave E
Princeton, IL 61356
Phone (815) 875-4531
17746 Oak Park Ave
Tinley Park, IL 60477
Phone (708) 623-1512
2028 N Seminary Ave
Woodstock, IL 60098
Phone (815) 333-8650
37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000
Interoperability endpoints
- venkata.jampala.1@24284.direct.athenahealth.com
- vjampala733567@direct.emplifyhealth.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1598717597
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tinley Park, IL
- NPI 1346304979
-
dba Osf Holy Family Clinics
- Rural Health Clinic/Center
- Monmouth, IL
- NPI 1679606073
-
dba Crossing Rivers Health
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
-
dba Crusader Clinic
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1902972557
-
- Federally Qualified Health Center (FQHC)
- Chicago Heights, IL
- NPI 1447723564
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Calumet City, IL
- NPI 1770647059
-
dba OSF HealthCare - Prompt Care
- Rural Health Clinic/Center
- Princeton, IL
- NPI 1164015517
-
dba OSF Saint Katharine Medical Center
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prairie Du Chien, WI
- NPI 1417333238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1235138579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20374 W BUCKTHORN CT",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600603319",
"telephone_number": "937-475-7809",
"fax_number": "309-623-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 PARK AVE E",
"city": "PRINCETON",
"state": "IL",
"postal_code": "613562537",
"telephone_number": "815-875-4531",
"fax_number": "309-623-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMPALA",
"first_name": "VENKATA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036063756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036063756",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, IL
- Angella R Hughes, LCPC
- Ihcc Hospice Inc (IHCC Healthcare)
- Ihcc Hospice Inc (In-Home Care Connection Hospice Services)
- Ihcc LLC (In-Home Care Connection)
- Illinois Rural Community Care Organization
- Jeffrey D Dzik OD & Associates LLC
- Jacquelyn Johnson, OTR/L
- Lisa Johnson, LCSW
- Journeys Counseling Assoc Inc
- Julia Rackley Perry Memorial Hospital (Perry Memorial Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.