Individual provider Active NPI

Maria Rhodora Kabatay-Lee Ho, MD

  • Family Medicine Physician
  • Pekin, IL
National Provider Identifier
1174560353
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036107438 Issued in IL
Practice address
600 S 13TH St
Suite I
Pekin, IL 61554-4936
Phone
(309) 346-1102
Fax
(309) 347-2885
NPI assigned
May 31, 2006
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2024015912 MO
Family Medicine Physician 207Q00000X 036107438 IL Primary

Addresses

Primary practice location

600 S 13TH St
Suite I
Pekin, IL 61554-4936

Mailing address

PO Box 505673
Saint Louis, MO 63150-5673

Other practice location 1

1000 E Primrose St Ste 170
Springfield, MO 65807-5192
Phone (000) 000-0000

Other identifiers 3

IdentifierTypeStateIssuer
09015685OtherILBLUE CROSS BLUE SHIELD
036107438MedicaidIL
P000329021OtherILRAIL ROAD MEDICARE

Other names 1

  • Rhodora Kabatay-Lee Ho Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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
I20031210000528 IL Practitioner - Family Practice 9739085713 Reassigns benefits to 1 organization
I20240627002373 MO Practitioner - Family Practice 9739085713 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, shared by 28 NPIs, 336 clinicians

Practice addresses (Care Compare)

1819 S National Ave
Springfield, MO 65804-2217

3525 E Battlefield St
Suite 100
Springfield, MO 65809-3434
Phone (417) 269-0065

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

501 N Old Wilderness Rd
Nixa, MO 65714-9490
Phone (417) 269-2150

5100 N Towne Centre Dr
Ozark, MO 65721-7479
Phone (417) 730-5360

525 Branson Landing Blvd
Suite 100
Branson, MO 65616-2152
Phone (417) 348-8646

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036107438ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jul 29, 2024 Accepting new patients
Proctor Health Systems Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jul 29, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 29, 2024 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jul 29, 2024 Accepting new patients
Proctor Health Systems Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Jul 29, 2024 Accepting new patients
Skaggs Community Hospital Association Family Medicine CurrentSince Jul 29, 2024 Accepting new patients
Lester E Cox Medical Centers Family Medicine Current Accepting new patients
Lester E. Cox Medical Centers Family Medicine Current Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jul 29, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 29, 2024 Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Jul 29, 2024 Accepting new patients
Lester E Cox Medical Centers Family Medicine Past Accepting new patients

Locations

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215

1000 E Primrose St
Ste 170
Springfield, MO 65807
Phone (417) 269-0930

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Fl 5
Springfield, MO 65807

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Willow Ridge Hospice LLCHavana, IL, CCN 141726 Hospice Contracted Managing Employee Nov 17, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1174560353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505673",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "address_2": "SUITE I",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-346-1102",
            "fax_number": "309-347-2885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Primrose St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075192",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABATAY-LEE HO",
        "first_name": "MARIA",
        "middle_name": "RHODORA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024015912",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036107438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09015685",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107438",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P000329021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHODORA",
            "last_name": "KABATAY-LEE HO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pekin, IL

Sources for this page

Verify at the official NPI Registry.