Dominic Charles Imburgia, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

901 N Maple St
Effingham, IL 62401-6401

Phone

(217) 347-2900

Fax

(217) 347-2922

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Family Practice

Education

Southern Illinois University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
• St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032
• HSHS Good Shepherd Hospital Inc Hospital, Shelbyville, IL, CCN 141354
• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
• St Johns Hospital Hospital, Springfield, IL, CCN 140053
• Fayette County Hospital Hospital, Vandalia, IL, CCN 141346

Merit-based Incentive Payment System (MIPS)

Final score

76.86 of 100Reported as individual

Quality

58.33

Improvement activities

40

Cost

78.43

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Consolidated Community Medical Centers, S.C.

  • Family Medicine Physician
  • Effingham, IL
  • NPI 1518993930
  NPD Authorized official
• Crawford Hospital District

  dba CMH Specialty Clinic-Newton

  • Urology Physician
  • Newton, IL
  • NPI 1265309405
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HSHS Good Shepherd Hospital Inc

  • Critical Access Hospital
  • Shelbyville, IL
  • NPI 1053348532
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  dba FCH Physician Billing

  • Critical Access Hospital
  • Vandalia, IL
  • NPI 1912988734
  Care Compare affiliation
• St Anthonys Memorial Hospital of the Hospital Sisters of the Third

  dba St. Anthony's Memorial Hospital

  • General Acute Care Hospital
  • Effingham, IL
  • NPI 1306800602
  Care Compare affiliation
• St Anthonys Memorial Hospital of the Hospital Sisters of the Third

  dba St. Anthony's Memorial Hospitral

  • Clinic/Center
  • Effingham, IL
  • NPI 1881214104

  Hospital

  Care Compare affiliation
• St Anthonys Memorial Hospital of the Hospital Sisters of the Third

  dba HSHS Home Care Illinois

  • Home Health Agency
  • Effingham, IL
  • NPI 1891758678
  Care Compare affiliation
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  dba HSHS St. John's Hospital

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1205818481
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114955960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N MAPLE ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624016401",
            "telephone_number": "217-347-2900",
            "fax_number": "217-347-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N MAPLE ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624016401",
            "telephone_number": "217-347-2900",
            "fax_number": "217-347-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBURGIA",
        "first_name": "DOMINIC",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "238531",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "40058",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03664959",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03800063",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Humel, CADC
• Connie Hunley, MHP
• Ronna R Hurren, RN
• Taylor Elizabeth Hutchison
• Kelly Hynes
• Infinity-Meds LLP
• Infinity-Meds Urgent Care Services LLC
• Inline Physical Therapy LLC
• Jackson Health, PLLC (Jackson Health)
• Stephanie D Jackson, APRN

• Family Medicine Physician in Effingham, IL
• Providers in Effingham, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.