Active NPI
James F. Hensold, M.D.
- Family Medicine Physician
- Washington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-072369
- Practice address
- 1201 N Cummings LN
Washington, IL 61571-9267 - Phone
- (309) 444-2090
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-072369 | IL | Primary |
Addresses
Primary practice location
1201 N Cummings LN
Washington, IL 61571-9267
Mailing address
1201 N Cummings LN
Washington, IL 61571-9267
Phone (309) 444-2090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279500 | Other | MEDICARE GROUP | |
| 036072369 1 | Medicaid | IL | |
| P00382797 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 N Cummings LN
Washington, IL 61571-9267
Phone (309) 444-2090
201 N Cummings LN
Washington, IL 61571-2181
Phone (309) 444-3627
205 N Cummings LN
Suite B
Washington, IL 61571-2181
Phone (309) 691-6610
209 N Cummings LN
Washington, IL 61571-2181
Phone (309) 643-6185
5401 N Knoxville Ave
Peoria, IL 61614-5021
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
815 Main St
Peoria, IL 61602-1076
Phone (309) 672-4977
815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977
Hospital & facility affiliations
- Carle Home Care
- Carle Health Methodist Hospital
- Carle Health Proctor Hospital
- Saint Francis Medical Center
- Carle Eureka Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-072369 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Health Systems | Family Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Family Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Family Medicine | Current | Accepting new patients |
| Grace Family Healthcare SC | Family Medicine | Past | Accepting new patients |
| Christie Clinic, PLLC | Family Medicine | Past | Accepting new patients |
Locations
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A1
Peoria, IL 61602
221 NE Glen Oak Ave
#100
Peoria, IL 61636
1201 N Cummings Ln
Washington, IL 61571
Phone (309) 444-2090
Interoperability endpoints
- jhensoldmd388688@carlehiedirect.net
Organizations & group practices 8
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.
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Family Medicine Physician
- Danville, IL
- NPI 1396860433
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Eureka, IL
- NPI 1184644023
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
-
- Home Health Agency
- Champaign, IL
- NPI 1891780615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1013011394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N CUMMINGS LN",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615719267",
"telephone_number": "309-444-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N CUMMINGS LN",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615719267",
"telephone_number": "309-444-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSOLD",
"first_name": "JAMES",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-072369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "279500",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036072369 1",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00382797",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.