Individual provider Active NPI

Paul A Toofan, M.D.

  • Emergency Medicine Physician
  • Effingham, IL
National Provider Identifier
1013989805
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036112112 Issued in IL
Practice address
1001 Avenue of Mid America
Suite 4
Effingham, IL 62401-4634
Phone
(217) 994-9301
Fax
(217) 994-9304
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036112112 IL Primary

Addresses

Primary practice location

1001 Avenue of Mid America
Suite 4
Effingham, IL 62401-4634

Mailing address

1001 Avenue of Mid America
Suite 4
Effingham, IL 62401-4634
Phone (217) 994-9301

Other identifiers 1

IdentifierTypeStateIssuer
036112112MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050827000145 IL Practitioner - Emergency Medicine 6204867419 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toofan Medical Holdings, LTDGroup PAC ID 6800026006, shared by 9 NPIs, 14 clinicians

Practice addresses (Care Compare)

1001 Ave of Mid America
Effingham, IL 62401-4634
Phone (217) 994-9301

1510 W Springfield Rd
Suite a
Taylorville, IL 62568-2764
Phone (217) 824-8244

20 Corvette Dr
Suite a
Litchfield, IL 62056-1038
Phone (217) 324-3400

602 Woodlawn Rd
Lincoln, IL 62656-1452
Phone (217) 994-9301

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Toofan Medical Holdings, LTD CurrentSince Aug 8, 2013 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 29, 2017 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 29, 2017 Accepting new patients
Toofan Medical Holdings, LTD. CurrentSince Apr 1, 2014 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Toofan Medical Holdings, LTD Past Accepting new patients
Toofan Medical Holdings, LTD Past Accepting new patients
Toofan Medical Holdings, LTD. Past Accepting new patients
Toofan Medical Holdings, LTD Past Accepting new patients
Toofan Medical Holdings, LTD. Past Accepting new patients
Toofan Medical Holdings, LTD Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

1001 Avenue of Mid America
Effingham, IL 62401
Phone (733) 593-1701

1001 Avenue of Mid America
Ste 4
Effingham, IL 62401
Phone (217) 994-9301

900 W Temple Ave
Bldg B
Effingham, IL 62401
Phone (217) 347-1690

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

1325 Koester Dr
Forsyth, IL 62535
Phone (217) 330-6868

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1050 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 356-4700

20 Corvette Dr
Litchfield, IL 62056

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

1510 W Springfield Rd
Ste A
Taylorville, IL 62568
Phone (217) 824-8244

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Effingham Express CareEffingham, IL, CCN 783849 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
W-2 Managing Employee
Feb 1, 2014
Feb 1, 2014
Feb 1, 2014
Taylorville Urgent CareTaylorville, IL, CCN 783857 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
W-2 Managing Employee
Feb 1, 2014
Feb 1, 2014
Feb 1, 2014
Litchfield Urgent CareLitchfield, IL, CCN 783850 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
W-2 Managing Employee
Feb 1, 2014
Feb 1, 2014
Feb 1, 2014
Central Illinois Urgent CareLincoln, IL, CCN 783866 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
W-2 Managing Employee
Feb 1, 2014
Feb 1, 2014
Feb 1, 2014

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1013989805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENUE OF MID AMERICA",
            "address_2": "SUITE 4",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014634",
            "telephone_number": "217-994-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVENUE OF MID AMERICA",
            "address_2": "SUITE 4",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014634",
            "telephone_number": "217-994-9301",
            "fax_number": "217-994-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOFAN",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036112112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112112",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.