Active NPI
Manoj Kumar Reddy Somagutta, MD
- Family Medicine Physician
- Springfield, IL
National Provider Identifier
1477286714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125080367
- Practice address
- 520 N 4TH St
Springfield, IL 62702-5238 - Phone
- (217) 545-8000
- NPI assigned
- Jul 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2026-03125 | NC | |
| Family Medicine Physician | 207Q00000X | 125080367 | IL | Primary |
Addresses
Primary practice location
520 N 4TH St
Springfield, IL 62702-5238
Mailing address
PO Box 19670
Springfield, IL 62794-9670
Phone (217) 545-8000
Other practice location 1
4901 Dawn Dr Ste 2300
Lumberton, NC 28360-8287
Phone (910) 738-1065
Other practice location 2
730 Oakridge Blvd
Lumberton, NC 28358-2324
Phone (910) 738-2662
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msomagutta1537627@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220718000313 | IL | Order and Referring Only - Family Practice | 8527449933 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1477286714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19670",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949670",
"telephone_number": "217-545-8000",
"fax_number": "217-757-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 4TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025238",
"telephone_number": "217-545-8000"
}
],
"practiceLocations": [
{
"address_1": "4901 Dawn Dr Ste 2300",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "NC",
"postal_code": "283608287",
"country_code": "US",
"telephone_number": "910-738-1065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 Oakridge Blvd",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "NC",
"postal_code": "283582324",
"country_code": "US",
"telephone_number": "910-738-2662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOMAGUTTA",
"first_name": "MANOJ KUMAR",
"middle_name": "REDDY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-05",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2026-03125",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125080367",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msomagutta1537627@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "4901 Dawn Dr Ste 2300",
"city": "Lumberton",
"state": "NC",
"country_code": "US",
"postal_code": "283608287",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.