Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mahathi Keelapandal Ganesh

Individual provider Internal Medicine Physician · NPI 1215665294

Mahathi Keelapandal Ganesh is an Internal Medicine in Urbana, Illinois. Qualified in 2019, 7 years ago. Practices with Vituity - Michigan Hospitalists PC, a 74-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
7
Licensed in
IL, MI
In the registry since
2022
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3110
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301513505 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125080023 (IL)

Record details

NPI number1215665294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2022
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Vituity - Michigan Hospitalists Pc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Urbana