Shitaldas Jamandas Pamnani, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

TRN23676 Issued in FL

Practice address

535 Park Ave E
Princeton, IL 61356

Phone

(815) 875-4531

Fax

(815) 876-2118

NPI assigned

May 28, 2016

Last updated

Oct 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Internal Medicine

Education

Other, 2007

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

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Healthcare Home Care Home health agency, Loves Park, IL, CCN 147271
• In-Home Care Connection Home Health Services Home health agency, Moline, IL, CCN 148146
• Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
• Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
• Osf Saint Paul Medical Center Hospital, Mendota, IL, CCN 141310
• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
• Osf Saint Katharine Medical Center Hospital, Dixon, IL, CCN 140012
• Manor Court of Princeton Nursing home, Princeton, IL, CCN 146083

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shitaldas.pamnani@hca4.eclinicaldirectplus.com
• Direct secure messaging: shitaldas.pamnani@perry.cernerdirect.com

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.

• Osf Healthcare System

  dba Osf Holy Family Clinics

  • Rural Health Clinic/Center
  • Monmouth, IL
  • NPI 1679606073
  Medicare reassignment NPD
• Osf Healthcare System

  • Certified Registered Nurse Anesthetist
  • Monmouth, IL
  • NPI 1811016124
  Medicare reassignment NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment NPD
• Julia Rackley Perry Memorial Hospital

  dba Perry Memorial Hospital

  • Emergency Medicine Physician
  • Princeton, IL
  • NPI 1619934833
  NPD
• Osf Healthcare System

  dba OSF Holy Family Medical Center

  • General Practice Physician
  • Monmouth, IL
  • NPI 1093834301
  NPD
• Osf Healthcare System

  dba OSF Little Company of Mary Medical Center

  • General Acute Care Hospital
  • Evergreen Park, IL
  • NPI 1215572045
  NPD
• Osf Healthcare System

  dba OSF Saint Katharine Medical Center

  • General Acute Care Hospital
  • Dixon, IL
  • NPI 1508683590
  NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1154908929
  NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Osf Healthcare System

  • Occupational Medicine Physician
  • Peoria, IL
  • NPI 1871039388
  NPD (past)

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

• JKCD Healthcare Consulting, LLC

  dba In-Home Care Connection Home Health Services, LLC

  • Home Health Agency
  • Moline, IL
  • NPI 1184150419
  Care Compare affiliation
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Critical Access Hospital
  • Mendota, IL
  • NPI 1609803113
  Care Compare affiliation
• Osf Healthcare System

  dba OSF Saint Clare Medical Center

  • Critical Access Hospital
  • Princeton, IL
  • NPI 1093308439
  Care Compare affiliation
• Osf Healthcare System

  dba OSF Saint Katharine Medical Center

  • General Acute Care Hospital
  • Dixon, IL
  • NPI 1508683590
  Care Compare affiliation
• Ottawa Regional Hospital & Healthcare Center

  dba OSF Saint Elizabeth Medical Center

  • General Acute Care Hospital
  • Peru, IL
  • NPI 1588713440
  Care Compare affiliation
• Residential Alternatives of Illinois Inc

  dba Manor Court of Princeton

  • Skilled Nursing Facility
  • Princeton, IL
  • NPI 1083692420

  Nursing home

  Care Compare affiliation
• Saint Anthony Medical Center

  dba Saint Anthony Med. Ctr for Home Care

  • Home Health Agency
  • Loves Park, IL
  • NPI 1023051992
  Care Compare affiliation

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1750739900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613563903",
            "telephone_number": "815-875-2811",
            "fax_number": "815-876-2119"
        },
        {
            "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": "61356",
            "telephone_number": "815-875-4531",
            "fax_number": "815-876-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2128 N Main St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IL",
            "postal_code": "613569728",
            "country_code": "US",
            "telephone_number": "815-875-2273",
            "fax_number": "815-207-8682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut",
            "state": "IL",
            "postal_code": "61376",
            "country_code": "US",
            "telephone_number": "815-379-2020",
            "fax_number": "815-379-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 Edward St",
            "address_purpose": "LOCATION",
            "city": "Henry",
            "state": "IL",
            "postal_code": "615371539",
            "country_code": "US",
            "telephone_number": "309-364-2002",
            "fax_number": "309-364-2017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Park Ave E",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IL",
            "postal_code": "61356",
            "country_code": "US",
            "telephone_number": "815-875-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAMNANI",
        "first_name": "SHITALDAS",
        "middle_name": "JAMANDAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-28",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN23676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036149196",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shitaldas.pamnani@perry.cernerdirect.com",
            "affiliation": "N",
            "address_1": "535 Park Ave E",
            "city": "Princeton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shitaldas.pamnani@perry.cernerdirect.com",
            "affiliation": "N",
            "address_1": "530 Park Ave E",
            "city": "Princeton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Osf Healthcare System (OSF HealthCare - Prompt Care)
• Osf Healthcare System (Osf Healthcare - Medical Group - Princeton)
• Osf Healthcare System (OSF HealthCare - Community Health)
• Osf Healthcare System (OSF Saint Clare Medical Center)
• Osf Healthcare System (OSF Saint Clare Medical Center)
• Ketan Patel, MD
• Cindy Penzenik, PT
• Petersen Companies, LLC (Orchardview Rehabilitation & Health Care Center)
• Lara Jean Petersen
• Barbara A Peterson, PT

• Internal Medicine Physician in Princeton, IL
• Providers in Princeton, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.