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

Individual provider Family Medicine Physician · NPI 1134561913

Mastan Rao Indlamuri, MD is a Family Practice in Springfield, Illinois. Qualified in 2005, 21 years ago. Practices with Central Counties Health Centers, Inc, a 16-clinician group. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2239 E Cook St
Springfield, IL 62703-1944
Phone: (713) 500-7616
Fax: (713) 500-7619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.142622 (IL)

Record details

NPI number1134561913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2013
Last updated in NPPESFebruary 12, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Central Counties Health Centers, Inc. — 16 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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