Active NPI
Maria Rhodora Kabatay-Lee Ho, MD
- Family Medicine Physician
- Pekin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036107438
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015685 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036107438 | Medicaid | IL | |
| P000329021 | Other | IL | RAIL ROAD MEDICARE |
Other names 1
- Rhodora Kabatay-Lee Ho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Centers
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036107438 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Proctor Health Systems | Family Medicine | Current | Accepting new patients |
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Current | Accepting new patients | |
| Proctor Health Systems | Family Medicine | Current | Accepting new patients |
| Lester E Cox Medical Centers | Family Medicine | Current | Accepting new patients |
| Skaggs Community Hospital Association | Family Medicine | Current | 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. | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Family Medicine | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Willow Ridge Hospice LLC | 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.
-
- Community Based Hospice Care Agency
- Havana, IL
- NPI 1972228310
Contracted Managing Employee
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.
-
dba CoxHealth Urgent Care Branson
- Urgent Care Clinic/Center
- Branson, MO
- NPI 1255870853
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
dba CoxHealth Urgent Care Monett
- Urgent Care Clinic/Center
- Monett, MO
- NPI 1205387289
-
dba CoxHealth Center Campbell
- Family Medicine Physician
- Springfield, MO
- NPI 1447324660
-
dba Coxhealth Urgent Care Ozark
- Urgent Care Clinic/Center
- Ozark, MO
- NPI 1669923884
-
dba Shell Knob Family Medicine
- Family Medicine Physician
- Shell Knob, MO
- NPI 1538334396
-
dba Carle Health Princeville
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
Family Medicine
-
dba Cox Monett Hospital
- Emergency Medicine Physician
- Monett, MO
- NPI 1669687125
-
dba CoxHealth Neurology
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
dba Coxhealth Virtual Visits
- Family Nurse Practitioner
- Springfield, MO
- NPI 1215329610
-
dba CoxHealth Advantage Care Clinic
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MO
- NPI 1356068605
Family Medicine
-
dba Cox Medical Centers
- Family Medicine Physician
- Springfield, MO
- NPI 1922126077
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Havana, IL
- NPI 1972228310
-
dba Cox Medical Centers
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
dba Cox Air Care
- Air Ambulance
- Springfield, MO
- NPI 1578680286
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.