Hoopeston Community Memorial Hospital

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HOOPESTON COMMUNITY MEMORIAL HOSPITAL

Doing business as

Hoopeston Physician Group

Practice address

701 E Orange St
Hoopeston, IL 60942-1801

Phone

(217) 283-5531

Fax

(217) 283-7981

NPI assigned

Nov 12, 2015

Last updated

Nov 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harry Brockus

Title

Ceo

Phone

(217) 283-8540

Specialties & licenses 15

Addresses

Other names 1

• Hoopeston Physician Group Doing business as

Medicare fee-for-service enrollment

Enrolled in IL, MO, FL, MD, TX, KY, NY, HI, CA, SD, IN, AZ, TN, OH14 enrollments

Enrollment records 14

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Hoopeston Community Memorial Hospital

  dba Carle at Tuscola

  • Rural Health Clinic/Center
  • Tuscola, IL
  • NPI 1205230844

  3577456037

  Same PAC ID
• Hoopeston Community Memorial Hospital

  dba Cissna Park Medical Clinic

  • Rural Health Clinic/Center
  • Cissna Park, IL
  • NPI 1356382428

  3577456037

  Same PAC ID
• Hoopeston Community Memorial Hospital

  • Critical Access Hospital
  • Hoopeston, IL
  • NPI 1366480873

  3577456037

  Same PAC ID
• Hoopeston Community Memorial Hospital

  dba Carle at Watseka

  • Rural Health Clinic/Center
  • Watseka, IL
  • NPI 1467549402

  3577456037

  Same PAC ID
• Hoopeston Community Memorial Hospital

  dba Charlotte Ann Russell Medical Center

  • Rural Health Clinic/Center
  • Hoopeston, IL
  • NPI 1578504544

  3577456037

  Same PAC ID
• Hoopeston Community Memorial Hospital

  dba Rossville Medical Clinic

  • Rural Health Clinic/Center
  • Rossville, IL
  • NPI 1629295324

  3577456037

  Same PAC ID
• Hoopeston Community Memorial Hospital

  dba Carle Danville Clinic

  • Rural Health Clinic/Center
  • Danville, IL
  • NPI 1669802419

  3577456037

  Same PAC ID
• Hoopeston Community Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Hoopeston, IL
  • NPI 1720021074

  3577456037

  Same PAC ID
• Hoopeston Community Memorial Hospital

  dba Carle Mattoon on Hurst

  • Rural Health Clinic/Center
  • Mattoon, IL
  • NPI 1750785986

  3577456037

  Same PAC ID
• Hoopeston Community Memorial Hospital

  dba Milford Medical Clinic

  • Rural Health Clinic/Center
  • Milford, IL
  • NPI 1992059976

  3577456037

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

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

• Hoopeston Community Memorial Hospital

  • Critical Access Hospital
  • Hoopeston, IL
  • NPI 1366480873

  O20040210000011, O20220606001782, O20220609002420, O20220611000291, O20220613000446, O20220930002524, O20221007001959, O20230309000854, O20240105002419, O20250414003299, O20250616002640, O20251007002294, O20251215001278, O20260123001544

  Same enrollment
• Hoopeston Community Memorial Hospital

  dba Charlotte Ann Russell Medical Center

  • Rural Health Clinic/Center
  • Hoopeston, IL
  • NPI 1578504544

  O20040210000011

  Same enrollment

Practitioners 503

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Naveed A Adoni I, MD

  • Cardiovascular Disease Physician
  • Urbana, IL
  • NPI 1881644177
  Medicare reassignment Care Compare group NPD
• Lisa R. Ballinger, M.A., LCPC

  • Professional Counselor
  • Mattoon, IL
  • NPI 1811985468
  Medicare reassignment Care Compare group NPD
• Haseeb Ilias Basha, MD

  • Cardiovascular Disease Physician
  • Urbana, IL
  • NPI 1194039198

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Kayla Blundy, NP

  • Family Nurse Practitioner
  • Hoopeston, IL
  • NPI 1750823183
  Medicare reassignment Care Compare group NPD
• Andrea Brasch, MD

  • Cardiovascular Disease Physician
  • Urbana, IL
  • NPI 1740353457
  Medicare reassignment Care Compare group NPD
• Alina Konnikova Brener, MD

  • Cardiovascular Disease Physician
  • Urbana, IL
  • NPI 1154716330

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Karen M Broaders, MD

  • Family Medicine Physician
  • Danville, IL
  • NPI 1699703777
  Medicare reassignment Care Compare group NPD
• Duat Bui, D.O

  • Pulmonary Disease Physician
  • Urbana, IL
  • NPI 1033597554

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Edward Caballero, MD

  • Internal Medicine Physician
  • Danville, IL
  • NPI 1417311317
  Medicare reassignment Care Compare group NPD
• Timothy H Camden, MD

  • Internal Medicine Physician
  • Mattoon, IL
  • NPI 1659323327
  Medicare reassignment Care Compare group NPD
• Kristine Ross Carpenter, M.D.

  • Family Medicine Physician
  • Mattoon, IL
  • NPI 1215198189
  Medicare reassignment Care Compare group NPD
• Pratima Chalasani, MD

  • Hematology & Oncology Physician
  • Urbana, IL
  • NPI 1477782522

  Internal Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1043683014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ORANGE ST",
            "address_2": "PROVIDER ENROLLMENT OFFICE-BWPC",
            "city": "HOOPESTON",
            "state": "IL",
            "postal_code": "609421801",
            "telephone_number": "217-383-6941",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ORANGE ST",
            "city": "HOOPESTON",
            "state": "IL",
            "postal_code": "609421801",
            "telephone_number": "217-283-5531",
            "fax_number": "217-283-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOPESTON COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "BROCKUS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-283-8540"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoopeston Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sowmya Gurukar, SLP
• Hayley Hambleton
• Highland Park CVS LLC (CVS Pharmacy # 06927)
• Hoopeston Area Cusd 11
• Hoopeston Community Ambulance Service
• Hoopeston Community Memorial Hospital (Hoopeston Community Ambulance)
• Hoopeston Community Memorial Hospital (Carle Hoopeston Regional Health Center)
• Hoopeston Community Memorial Hospital
• Hoopeston Community Memorial Hospital
• Hoopeston Community Memorial Hospital (Carle Hoopeston Regional Health Center)

• Internal Medicine Physician in Hoopeston, IL
• Providers in Hoopeston, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.