Active NPI
Hetal H Amin, MD
- Psychiatry Physician
- Danville, IL
National Provider Identifier
1083603872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036099349
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040505000453 | IL | Practitioner - Psychiatry | 6305737008 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036099349 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Belleville, IL
- NPI 1912176900
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.