Active NPI
Loren Hughes, M.D.
- Family Medicine Physician
- Collinsville, IL
National Provider Identifier
1104843796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036081352
- Practice address
- 1950 Vandalia St
Collinsville, IL 62234-4846 - Phone
- (618) 344-3046
- Fax
- (618) 344-5284
- NPI assigned
- Jul 17, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-081352 | IL | |
| Emergency Medicine Physician | 207P00000X | 2001001840 | MO | |
| Family Medicine Physician | 207Q00000X | 036081352 | IL | Primary |
Addresses
Primary practice location
1950 Vandalia St
Collinsville, IL 62234-4846
Mailing address
1950 Vandalia St
Collinsville, IL 62234-4846
Phone (618) 344-3046
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036081352 | Medicaid | IL | |
| 036018352 | Medicaid | IL | |
| 207455007 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-081352 | IL | MD | Emergency Medicine Physician |
| 2001001840 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Past | Accepting new patients | |
| North County Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
-
- Emergency Medicine Physician
- Florissant, MO
- NPI 1356366934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1104843796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 VANDALIA ST",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622344846",
"telephone_number": "618-344-3046",
"fax_number": "618-344-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 VANDALIA ST",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622344846",
"telephone_number": "618-344-3046",
"fax_number": "618-344-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "LOREN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-081352",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2001001840",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036081352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036081352",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036018352",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207455007",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Collinsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.