Jamaluddin F Amanullah, M.D.
Individual provider Active NPI Internal Medicine Physician · Pekin, IL
NPI 1184673147 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1184673147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036127585 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carle Health Care Incorporated
Methodist Medical Center of Illinois
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
- Carle Health Methodist Hospital
- Carle Health Proctor Hospital
- Carle Health Pekin Hospital
- Carle Eureka Hospital
- Saint Francis Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110802000270 | IL | Practitioner - Hospitalist |
4385622323 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Health Systems | Current |
Accepting new patients | |
| Proctor Health Systems | Current |
Accepting new patients | |
| Pekin Prohealth Inc | Internal Medicine | Current |
Accepting new patients |
| Proctor Health Systems | Internal Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Internal Medicine | Current |
Accepting new patients |
| Carle Health Care Incorporated | Internal Medicine | Current |
Accepting new patients |
| Taylorville Memorial Hospital | Current |
Accepting new patients | |
| Decatur Memorial Hospital | Internal Medicine | Current |
Accepting new patients |
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Taylorville Memorial Hospital | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Decatur Memorial Hospital | Current |
Accepting new patients | |
| Physician Groups LC | Internal Medicine | Past | Accepting new patients |
Locations
2300 N Edward St
Ste 3200
Decatur, IL 62526
Phone (217) 876-3660
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
600 S 13th St
Ste 1
Pekin, IL 61554
Phone (309) 346-1102
2401 Broadway St
Lowr
Pekin, IL 61554
Phone (309) 349-3175
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
1021 Court St
Ste B
Pekin, IL 61554
Phone (309) 267-2034
815 Main St
Ste A1
Peoria, IL 61602
221 NE Glen Oak Ave
Ste 514W
Peoria, IL 61636
Phone (309) 672-5733
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
5401 N Knoxville Ave
Ste 204
Peoria, IL 61614
Phone (309) 683-1200
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- jamanullahmd402983@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35084268 | OH | |
| Specialist | 174400000X | 2009011799 | MO | |
| Internal Medicine Physician | 207R00000X | 036127585 | IL | Yes |
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
Other providers in Pekin, IL
- Rebecca A Ala
- Alan Burge DDS
- Elena Alcozer
- All Gastro LTD.
- Amber Altmix
- Kathryn Andersen
- Stacey Andersen
- J. Douglas Anderson
- Molly Bea Anderson
- Rachel Marie Anderson
All providers in Pekin, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.