Active NPI
Mark Allen Nekola, MD
- Ophthalmology Physician
- Swansea, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036092365
- Practice address
- 3990 N Illinois St
Swansea, IL 62226-1919 - Phone
- (618) 277-1130
- Fax
- (618) 277-4917
- NPI assigned
- Sep 27, 2005
- Last updated
- Sep 9, 2014
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036092365 | IL | Primary |
Addresses
Primary practice location
3990 N Illinois St
Swansea, IL 62226-1919
Mailing address
4900 W Main St
Belleville, IL 62226-4725
Phone (618) 235-2400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08215191 | Other | IL | BCBS |
| 18007717 | Other | RR MEDICARE | |
| 036092365 | Medicaid | IL |
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
- Ophthalmology
- Education
- Saint Louis University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4900 W Main St
Belleville, IL 62226-4725
Phone (618) 235-2400
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.84 of 100
- Quality
- 92.01
- Improvement activities
- 40
- Cost
- 76.78
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036092365 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JFJ Eyecare LTD | Current | Accepting new patients | |
| JFJ Eyecare, LTD | Current | Accepting new patients |
Locations
111 W Lincoln St
Belleville, IL 62220
Phone (618) 234-1774
4900 W Main St
Belleville, IL 62226
Phone (618) 235-2400
408 W 2nd St
Centralia, IL 62801
Phone (618) 532-5531
3990 N Illinois St
Swansea, IL 62226
Phone (618) 235-3100
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1073509766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 W MAIN ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622264725",
"telephone_number": "618-235-2400",
"fax_number": "618-235-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 N ILLINOIS ST",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622261919",
"telephone_number": "618-277-1130",
"fax_number": "618-277-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEKOLA",
"first_name": "MARK",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036092365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08215191",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "18007717",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092365",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
- My Joy Therapy LLC
- Nadiah LLC (Serenity And Hope Counseling)
- Teresa Marie Nadolski, PHARMD
- Angela Elizabeth Nauman-Musick, APRN,CNP
- Mitchell Needleman, D.P.M.
- Luciana Nelson
- Neuropathy and Pain Solutions LTD
- New Hope Restoration Counseling LLC (Rocky Mays Counseling)
- Next Step Foot and Ankle Centers Inc
- Lindsey Neyland, MCD, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.