Individual provider Active NPI

Jamaluddin F Amanullah, M.D.

  • Internal Medicine Physician
  • Pekin, IL
National Provider Identifier
1184673147
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036127585 Issued in IL
Practice address
2401 Broadway St
Lower Level
Pekin, IL 61554-3905
Phone
(314) 971-5717
Fax
(309) 620-8751
NPI assigned
May 8, 2006
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35084268 OH
Specialist 174400000X 2009011799 MO
Internal Medicine Physician 207R00000X 036127585 IL Primary

Addresses

Primary practice location

2401 Broadway St
Lower Level
Pekin, IL 61554-3905

Mailing address

2401 Broadway St
Lower Level
Pekin, IL 61554-3905
Phone (314) 971-5717

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110802000270 IL Practitioner - HospitalistPractitioner - Internal Medicine 4385622323 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

221 NE Glen Oak Ave
Peoria, IL 61636-0001

5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1000

600 S 13TH St
Pekin, IL 61554-4936

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009011799MOMDSpecialist
35084268OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems Internal Medicine Current Accepting new patients
Carle Health Medical Group Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Nov 2, 2020 Accepting new patients
Decatur Memorial Hospital Internal Medicine CurrentSince Oct 12, 2016 Accepting new patients
Methodist Medical Center of Illinois Internal Medicine CurrentSince Nov 2, 2020 Accepting new patients
Taylorville Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
Proctor Health Systems CurrentSince Nov 2, 2020 Accepting new patients
Decatur Memorial Hospital CurrentSince Oct 12, 2016 Accepting new patients
Taylorville Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
Proctor Health Systems CurrentSince Nov 2, 2020 Accepting new patients
Pekin Prohealth Inc Internal Medicine CurrentSince Jun 14, 2011 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Physician Groups LC Internal Medicine Past Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

2300 N Edward St
Ste 3200
Decatur, IL 62526
Phone (217) 876-3660

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

1021 Court St
Ste B
Pekin, IL 61554
Phone (309) 267-2034

2401 Broadway St
Lowr
Pekin, IL 61554
Phone (309) 349-3175

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

600 S 13th St
Ste 1
Pekin, IL 61554
Phone (309) 346-1102

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

221 NE Glen Oak Ave
Ste 514W
Peoria, IL 61636
Phone (309) 672-5733

5401 N Knoxville Ave
Ste 204
Peoria, IL 61614
Phone (309) 683-1200

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

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: jamanullahmd402983@carlehiedirect.net

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 5

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1184673147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BROADWAY ST",
            "address_2": "LOWER LEVEL",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543905",
            "telephone_number": "314-971-5717",
            "fax_number": "309-620-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BROADWAY ST",
            "address_2": "LOWER LEVEL",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543905",
            "telephone_number": "314-971-5717",
            "fax_number": "309-620-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANULLAH",
        "first_name": "JAMALUDDIN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35084268",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2009011799",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036127585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

Verify at the official NPI Registry.