Individual provider Active NPI

Abhish Koirala, M.D.

  • Hospitalist Physician
  • Herrin, IL
National Provider Identifier
1134474471
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036141729 Issued in IL
Practice address
201 S 14TH St
Herrin, IL 62948-3631
Phone
(618) 942-2171
Fax
(618) 988-6166
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 252423 MA
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X 036141729 IL Primary

Addresses

Primary practice location

201 S 14TH St
Herrin, IL 62948-3631

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 942-2171

Other practice location 1

2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156

Other practice location 2

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

Other identifiers 1

IdentifierTypeStateIssuer
214881OtherILGROUP PTAN NUMBER

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address akoirala20760@sih.direct-ci.com
Direct Messaging Address akoirala20760@sih.direct-ci.com
Direct Messaging Address akoirala20760@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170623000188 IL Practitioner - HospitalistPractitioner - Internal Medicine 6507186913 Reassigns benefits to 2 organizations
I20230609000405 TN Practitioner - Internal Medicine 6507186913 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.45 of 100Reported as group
Quality
42.88
Promoting interoperability
77
Improvement activities
40
Cost
74.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252423MAMDInternal Medicine Physician
036141729ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Medical Group, Inc Single Specialty CurrentSince Feb 22, 2023 Accepting new patients
Southeastern Physician Services PC Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Feb 22, 2023 Accepting new patients
Emergency Medicine Services of TN, PC Single Specialty CurrentSince Jun 7, 2024 Accepting new patients
Southern Illinois Medical Services, NFP Single Specialty CurrentSince Jul 3, 2017 Accepting new patients
24 On Physicians, P.C. Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
24 On Physicians, PC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Hospital Medicine Services of TN, LLC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients

Locations

405 W Jackson St
#Sih
Carbondale, IL 62901
Phone 6185490721 ext. 65137

405 W Jackson St
Carbondale, IL 62901

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

201 S 14th St
#Sih
Herrin, IL 62948
Phone 6189422171 ext. 65137

2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156

2 S Hospital Dr
#Sih
Murphysboro, IL 62966
Phone 6186843156 ext. 65137

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2300 Patterson St
#M
Nashville, TN 37203

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1134474471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-942-2171",
            "fax_number": "618-988-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 14TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483631",
            "telephone_number": "618-942-2171",
            "fax_number": "618-988-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629663333",
            "country_code": "US",
            "telephone_number": "618-684-3156",
            "fax_number": "618-684-1040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011462",
            "country_code": "US",
            "telephone_number": "618-549-0721",
            "fax_number": "618-529-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOIRALA",
        "first_name": "ABHISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "252423",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036141729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN NUMBER",
            "identifier": "214881",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akoirala20760@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 W Jackson St",
            "address_2": "SIH Medical Group Hospitalist Program",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akoirala20760@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2 S Hospital Dr",
            "address_2": "SIH Medical Group Hospitalist Program",
            "city": "Murphysboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akoirala20760@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "201 S 14th St",
            "address_2": "SIH Medical Group Hospitalist Program",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.