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Dr. Sandhya Vethachalam , MD

Pediatrics β€’ Springfield, MO

Active NPI 1104234814 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

3231 S National Ave Ste 100
Springfield, MO 658077304

Call 4178850810 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3231 S National Ave Ste 100

Springfield, MO 658077304

Telephone 4178850810

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Marymount University

Graduation Year

2018

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Vethachalam has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Vethachalam as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Missouri

58 active clinicians are listed under Pediatrics with a practice address in Springfield, MO (1,562 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 58 clinicians have the CMS telehealth indicator.

6.9% of these 58 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-12
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MO 2019009765

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20260303004156

Enrollment State Jurisdiction

TX

PECOS Control ID

4981978020

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Tiffany Crawford , FNP

Nurse Practitioner - Family

NPI 1528291531

Family Nurse Practitioner

NPI 1710020706

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2026

Pediatrics (license number reported to NPPES: MO 2019009765)

πŸ“
Updated Practice Location June 26, 2019

Registered at 3231 S NATIONAL AVE STE 100, SPRINGFIELD, MO 658077304 (Tel: 4178850810)

πŸ“
Updated Business Mailing Address June 26, 2019

Registered at 3231 S NATIONAL AVE STE 100, SPRINGFIELD, MO 658077304

βœ…
NPI Profile Active December 12, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 12, 2014

Registered at 1650 GRAND CONCOURSE, BRONX-LEBANON HOSPITAL CENTER, BRONX, NY 10457 (Tel: 9176791980)

πŸ“
Business Mailing Address (Initial Record) December 12, 2014

Registered at 1650 GRAND CONCOURSE, APT 6H, BRONX, NY 10457

πŸ‘€
Provider Name / Credentials (Initial Record) December 12, 2014

Recorded as SANDHYA VETHACHALAM, M.D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2014

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 25, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104234814
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2014
Last Update: June 12, 2026
Sole Proprietor: No

Other Pediatrics Specialists in Springfield

All Pediatrics Specialists in Springfield

Mailing Address

3231 S National Ave Ste 100

Springfield, MO 658077304

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.