Individual provider Active NPI

Venkata C Jampala, MD

  • Psychiatry Physician
  • Princeton, IL
National Provider Identifier
1235138579
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036063756 Issued in IL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036063756MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040903001243 IL Practitioner - Psychiatry 2769458355 Reassigns benefits to 5 organizations
I20180309001757 WI Practitioner - Psychiatry 2769458355 Reassigns benefits to 1 organization

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 SystemGroup PAC ID 4284541806, shared by 34 NPIs, 94 clinicians
Independence Health and TherapyGroup PAC ID 2062315849, 6 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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

LicenseStateTypeSpecialty
036069756ILMDCardiovascular Disease Physician
036063756ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Jul 1, 2021 Accepting new patients
NPI 1184744625 CurrentSince Jul 6, 2024 Accepting new patients
Grand Prairie Services Current Accepting new patients
Grand Prairie Services CurrentSince Mar 1, 2020 Accepting new patients
Osf Healthcare System CurrentSince Jul 1, 2021 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 CurrentSince Feb 12, 2018 Accepting new patients
Osf Healthcare System Current Accepting new patients
Grand Prairie Services CurrentSince Mar 1, 2020 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 11, 2025 Accepting new patients
Crawford County CCS PastSince Apr 20, 2019 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

  • Direct secure messaging: venkata.jampala.1@24284.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.