Shakuntala Hanumant Mauzo, MBBS,MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

036.145741 Issued in IL

Practice address

701 N. First St
Springfield, IL 62781-0002

Phone

(217) 788-3000

Fax

(217) 788-5577

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathology Associates of Central Illinois LTDGroup PAC ID 6103813449, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Springfield, IL, CCN 140148
• Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
• Jersey Community Hospital Hospital, Jerseyville, IL, CCN 140059
• Carlinville Area Hospital Hospital, Carlinville, IL, CCN 141347
• Abraham Lincoln Memorial Hospital Hospital, Lincoln, IL, CCN 141322

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pathology Associates of Central Illinois LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Springfield, IL
  • NPI 1548363138
  Medicare reassignment Care Compare group NPD
• Pathology Associates of Central Illi

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, IL
  • NPI 1447402391
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Abraham Lincoln Memorial Hospital

  • Critical Access Hospital
  • Lincoln, IL
  • NPI 1154329753
  Care Compare affiliation
• Carlinville Area Hospital Association

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1053425124
  Care Compare affiliation
• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1548357973
  Care Compare affiliation
• Jersey Community Hospital

  • General Acute Care Hospital
  • Jerseyville, IL
  • NPI 1184630519
  Care Compare affiliation
• Memorial Medical Center

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1255317590
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1659626554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5995",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975995",
            "telephone_number": "713-500-5302",
            "fax_number": "713-500-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N. FIRST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810002",
            "telephone_number": "217-788-3000",
            "fax_number": "217-788-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUZO",
        "first_name": "SHAKUNTALA",
        "middle_name": "HANUMANT",
        "credential": "MBBS,MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "IL",
            "license": "036.145741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelina Matveyev, LCSW
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• Greg Maurer, MD
• Susan M Maurer, D.M.D.
• Amanda M Mavis, FNP
• Harolyn G Maxwell, CRNA
• Tiphanie May, LCSW
• Samantha Ariel Mayberry, DC
• Alea Denise Maye

• Anatomic Pathology Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Anatomic Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.

Verify at the official NPI Registry.