NPIMap

Individual provider Active NPI

Joanna E. Janas-Kaminsky, M.D.

  • Internal Medicine Physician
  • Alton, IL
National Provider Identifier
1194811430
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-099727 Issued in IL
Practice address
#2 Saint Anthony's Way
Suite 205
Alton, IL 62002-4569
Phone
(618) 465-8019
Fax
(618) 463-5004
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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 036099727 IL
Internal Medicine Physician 207R00000X 036-099727 IL Primary

Addresses

Primary practice location

#2 Saint Anthony's Way
Suite 205
Alton, IL 62002-4569

Mailing address

#2 Saint Anthony's Way
Suite 205
Alton, IL 62002-4569
Phone (618) 465-8019

Other identifiers 1

IdentifierTypeStateIssuer
036099727MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jjanaskaminsky114737@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110506000422 IL Practitioner - Internal Medicine 4486839446 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

604 Pierce Blvd
Suite 150
O Fallon, IL 62269-2588
Phone (618) 222-9244

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099727ILMDInternal Medicine Physician
036099727ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jul 1, 2014 Accepting new patients
SSM Medical Group, Inc. Internal Medicine Current Accepting new patients
SSM Medical Group Inc. CurrentSince Jul 11, 2023 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
SSM Medical Group, Inc. CurrentSince Jul 11, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jul 1, 2014 Accepting new patients
Saint Anthony's Physician Group Internal Medicine Past Accepting new patients
SSM Health Care St. Louis Internal Medicine Past Accepting new patients

Locations

811 Fairfax St
Carlyle, IL 62231
Phone (618) 594-3025

1441 W Broadway
Centralia, IL 62801
Phone (618) 532-0810

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

604 Pierce Blvd
Ste 150
O Fallon, IL 62269
Phone (618) 222-9244

Interoperability endpoints

  • Direct secure messaging: jjanaskaminsky114737@direct-ehr-ssmhc.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1194811430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#2 SAINT ANTHONY'S WAY",
            "address_2": "SUITE 205",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024569",
            "telephone_number": "618-465-8019",
            "fax_number": "618-463-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#2 SAINT ANTHONY'S WAY",
            "address_2": "SUITE 205",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024569",
            "telephone_number": "618-465-8019",
            "fax_number": "618-463-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANAS-KAMINSKY",
        "first_name": "JOANNA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036099727",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-099727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099727",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjanaskaminsky114737@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jjanaskaminsky114737@direct-ehr-ssmhc.com",
            "address_1": "1441 W Broadway",
            "city": "Centralia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628015613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1441 W Broadway",
            "city": "Centralia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628015613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.