Individual provider Active NPI

Hetal H Amin, MD

  • Psychiatry Physician
  • Danville, IL
National Provider Identifier
1083603872
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036099349 Issued in IL
Practice address
1900 E Main St
Danville, IL 61832-5100
Phone
(618) 593-2683
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036099349 IL Primary

Addresses

Primary practice location

1900 E Main St
Danville, IL 61832-5100

Mailing address

1900 E Main St
Danville, IL 61832-5100
Phone (618) 593-2683

Other practice location 1

600 W Lincoln Ave
Caseyville, IL 62232-1329
Phone (618) 593-2683

Other practice location 2

505 S 8th St
East Saint Louis, IL 62201-2919
Phone (618) 593-2683

Other practice location 3

1520 S 4th St
Greenville, IL 62246-2618
Phone (618) 593-2683

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
I20040505000453 IL Practitioner - PsychiatryPractitioner - Addiction Medicine 6305737008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bond County TreasurerGroup PAC ID 0446355820, 5 clinicians

Practice addresses (Care Compare)

1520 S 4TH St
Greenville, IL 62246-2618
Phone (618) 664-1455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036099349ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Mental Health Center of St. Clair County, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1083603872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325100",
            "telephone_number": "618-593-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325100",
            "telephone_number": "618-593-2683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Caseyville",
            "state": "IL",
            "postal_code": "622321329",
            "country_code": "US",
            "telephone_number": "618-593-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S 8th St",
            "address_purpose": "LOCATION",
            "city": "East Saint Louis",
            "state": "IL",
            "postal_code": "622012919",
            "country_code": "US",
            "telephone_number": "618-593-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "IL",
            "postal_code": "622462618",
            "country_code": "US",
            "telephone_number": "618-593-2683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "HETAL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036099349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.