NPIMap

Organization Active NPI

Cep America Illinois Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • Springfield, IL
National Provider Identifier
1013784586
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
CEP AMERICA ILLINOIS INTENSIVISTS
Practice address
800 E Carpenter St
Springfield, IL 62769-1000
Phone
(217) 544-6464
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
David Birdsall, MD
Title
Administrative VP of Operations
Phone
(510) 350-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary

Addresses

Primary practice location

800 E Carpenter St
Springfield, IL 62769-1000

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 851-7501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160829002157 IL Part B Supplier - Clinic/Group Practice 0345535449 Receives reassigned benefits from 99 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Breese, IL; Springfield, IL; O Fallon, IL; Kankakee, IL; Highland, IL; Greenville, IL; Effingham, IL; Elgin, IL…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cep America Illinois Intensivists11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Aman Sethi, MD
    • Critical Care Medicine (Internal Medicine) Physician
    • Oak Lawn, IL
    • NPI 1447446349

    Critical Care Medicine

    NPD
  • Ashley Kaye Binder, MD
    • Critical Care Medicine (Internal Medicine) Physician
    • La Jolla, CA
    • NPI 1265775365

    Critical Care Medicine

    NPD
  • Don M Fernandez, M.D.
    • Pulmonary Disease Physician
    • Sacramento, CA
    • NPI 1972583755

    Critical Care Medicine

    NPD
  • Zakaria Hindi
    • Nephrology Physician
    • Odessa, TX
    • NPI 1972957983

    Critical Care Medicine

    NPD
  • Huram Mok, MD
    • Pulmonary Disease Physician
    • Saint Louis, MO
    • NPI 1407234305

    Critical Care Medicine

    NPD
  • Khalid Monzer, MD
    • Critical Care Medicine (Internal Medicine) Physician
    • Reno, NV
    • NPI 1689873358

    Critical Care Medicine

    NPD
  • Christine D Warner, MD
    • Critical Care Medicine (Internal Medicine) Physician
    • Saint Louis, MO
    • NPI 1871013078

    Critical Care Medicine

    NPD
  • Stephanie May Woolley, MD
    • Pulmonary Disease Physician
    • Hendersonville, NC
    • NPI 1952332876

    Critical Care Medicine

    NPD

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1013784586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411",
            "telephone_number": "510-851-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627691000",
            "telephone_number": "217-544-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEP AMERICA ILLINOIS INTENSIVISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATIVE VP OF OPERATIONS",
        "authorized_official_telephone_number": "510-350-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.