Vamsi Krishna Chilluru, M.B.B.S
Individual provider Active NPI Nephrology Physician · Carbondale, IL
NPI 1295099406 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1295099406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 036156322 (IL)
- Practice address
- 1350 Cedar CT
Carbondale, IL 62901-5336 - Phone
- (618) 529-2955
- Fax
- (618) 457-7823
- NPI assigned
- Jul 2, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kidney Disease and Medicine Specialty Consultants LLC
Practice addresses (Care Compare)
1350 Cedar CT
Carbondale, IL 62901-5336
Phone (618) 529-2955
1900 State St
Chester, IL 62233-1116
Phone (618) 529-2955
20 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 529-2955
400 Lincoln Dr
Herrin, IL 62948-3757
Phone (618) 529-2955
Hospital & facility affiliations
- FMC - Saline County
- FMC - Carbondale
- DaVita Benton Dialysis
- FMC - Randolph County
- FMC - Duquoin
- Memorial Hospital
- Herrin Hospital
- Memorial Hospital of Carbondale
- St Joseph Memorial Hospital
- Harrisburg Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.38 of 100
- Quality
- 31.67
- Improvement activities
- 40
- Cost
- 75.71
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210816000775 | IL | Practitioner - Nephrology |
7416242615 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Kidney Disease and Medicine Specialty Consultants LLC | Current |
Accepting new patients |
Locations
1350 Cedar Ct
Carbondale, IL 62901
Phone (618) 457-0402
1900 State St
Chester, IL 62233
Phone (618) 826-2388
900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050
20 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 942-7300
400 Lincoln Dr
Herrin, IL 62948
Phone (270) 443-6472
502 W Saint Louis St
West Frankfort, IL 62896
Phone (618) 937-3400
Interoperability endpoints
- vchilluru290154@direct.carenet.org
- vchilluru104473@direct.metrohealth.org
- vchilluru52978@sih.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2018010267 | MO | |
| Nephrology Physician | 207RN0300X | 036156322 | IL | Yes |
Addresses
Primary practice location
1350 Cedar CT
Carbondale, IL 62901-5336
Mailing address
1350 Cedar CT
Carbondale, IL 62901-5336
Phone (618) 529-2955
Other practice location 1
1101 W Liberty St
Farmington, MO 63640
Phone (573) 708-1272
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Other providers in Carbondale, IL
- Angela Mei Chen
- Yuan Chen
- Krishna Chaitanya Cherukuri
- Alexander Kingston Chevalier
- Child and Adolescent Neuropsychology Services of Southern Illinois, PL
- Michael A. Chipman
- Sahitya Chiramana
- Karen Choi
- Choices Medical Services, PC
- William Chotas
All providers in Carbondale, IL · Nephrology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.