Active NPI
Lakshmi R. Beeravolu, MD
- Clinical Neurophysiology Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 036131387
- Practice address
- 4550 Memorial Dr
Ste. A480
Belleville, IL 62226-5372 - Phone
- (618) 234-4531
- Fax
- (618) 234-4695
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2014029851 | MO | |
| Clinical Neurophysiology Physician | 2084N0600X | 2014029851 | MO | |
| Neurology Physician | 2084N0400X | ME129984 | FL | |
| Clinical Neurophysiology Physician | 2084N0600X | 036131387 | IL | Primary |
Addresses
Primary practice location
4550 Memorial Dr
Ste. A480
Belleville, IL 62226-5372
Mailing address
4550 Memorial Dr
Ste. A480
Belleville, IL 62226-5372
Phone (618) 234-4531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, AR, SC, TX, AL, WI, NM, CT, NV, MT, OK, LA, NC, CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 15
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Spring, TX 77382
Phone (972) 449-0540
10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (972) 449-0540
1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111
2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540
20 York St
New Haven, CT 06510-3220
Phone (972) 449-0540
208 Sologne CT
Little Rock, AR 72223-8915
Phone (972) 449-0540
4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (972) 449-0540
50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone (972) 449-0540
850 W Central Texas Expy
Harker Heights, TX 76548-1890
Phone (972) 449-0540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME129984 | FL | MD | Neurology Physician |
| 2014029851 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Trust of Miami Dade County Florida | Current | Accepting new patients | |
| Access Telecare California, P.C. | Family Medicine | Current | Accepting new patients |
| Public Health Trust of Dade County Florida | Current | Accepting new patients | |
| Mercy Management of Southeastern Pennsylvania | Past | Accepting new patients | |
| Msa Alliance, LLC | Neurology | Past | Accepting new patients |
Locations
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
AR, CT, LA, MT, NC, NM, NV, PA
-
- General Practice Physician
- Miami, FL
- NPI 1134384423
-
- General Practice Physician
- Coral Gables, FL
- NPI 1548900178
-
- General Practice Physician
- Hialeah, FL
- NPI 1841149093
-
- Neurology Physician
- Belleville, IL
- NPI 1528372992
-
- Land Ambulance
- Darby, PA
- NPI 1053394122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1376745117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 MEMORIAL DR",
"address_2": "STE. A480",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265372",
"telephone_number": "618-234-4531",
"fax_number": "618-234-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 MEMORIAL DR",
"address_2": "STE. A480",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265372",
"telephone_number": "618-234-4531",
"fax_number": "618-234-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEERAVOLU",
"first_name": "LAKSHMI",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2014029851",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "MO",
"license": "2014029851",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME129984",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "IL",
"license": "036131387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
- Kelsey Beasley
- Paul Douglas Becherer, O.D.
- Richard D Becherer, CRNA
- Joyce Marie Becker, P.T.A. AND CRTT
- Marcia Ann Becker, CRNA
- Behavior Innovation Group, LLC
- Bel Clair Ambulatory Surgical Treatment Center, LTD
- Bel Clair Ambulatory Surgical Treatment Center, LTD.
- Neil Belanger, CRNA
- Stephen Bell, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.