Kristin K Newcome, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036107742 Issued in IL

Practice address

5160 Hickory Point Frontage Rd
Decatur, IL 62526-9778

Phone

(217) 330-9788

Fax

(217) 330-8945

NPI assigned

Apr 26, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2013 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Priority Health Family Medicine LLC

  • Family Medicine Physician
  • Decatur, IL
  • NPI 1598125031
  NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1134186141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 HICKORY POINT FRONTAGE RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269778",
            "telephone_number": "217-330-9788",
            "fax_number": "217-330-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 HICKORY POINT FRONTAGE RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269778",
            "telephone_number": "217-330-9788",
            "fax_number": "217-330-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOME",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036107742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107742",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bharat Neelam Raju, MD
• Nehemiah Tan, MD, S.C.
• Christopher M Nelson, PHARMD
• Justin Nelson, OTD, OTR/L, LAT, ATC
• Drew Newberry
• John Wesley Newlin, MD
• Nex Gen Care
• Next Gen RCM
• Thuy Khanh Nguyen, M.D.
• Alisa Nichols, RPH

• Family Medicine Physician in Decatur, IL
• Providers in Decatur, 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 Oct 4, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.