NPIMap

Individual provider Active NPI

Danxuan Long, MD

  • Pulmonary Disease Physician
  • Decatur, IL
National Provider Identifier
1205098738
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036128323 Issued in IL
Practice address
1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone
(217) 464-1350
Fax
(217) 464-1359
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036128323 IL Primary
Internal Medicine Physician 207R00000X 036128323 IL
Hospitalist Physician 208M00000X 036128323 IL

Addresses

Primary practice location

1730 E Lake Shore Dr
Decatur, IL 62521-3809

Mailing address

PO Box 19656
Springfield, IL 62794-9656
Phone (217) 545-8853

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlong104715@ewd.direct.hshs.org Direct

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
I20120423000670 IL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0840451639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1770 E Lake Shore Dr
Suite 300
Decatur, IL 62521-3842
Phone (217) 422-0458

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966

200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc Current Accepting new patients
HSHS Medical Group Inc CurrentSince Jun 1, 2015 Accepting new patients
HSHS Medical Group Inc Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Cep America Illinois Intensivists CurrentSince Feb 16, 2024 Accepting new patients
Cep America Illinois Intensivists CurrentSince Feb 16, 2024 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

1770 E Lake Shore Dr
Ste 300
Decatur, IL 62521
Phone (217) 422-0458

1730 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 329-1000

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

Organizations & group practices 6

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

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1205098738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19656",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949656",
            "telephone_number": "217-545-8853",
            "fax_number": "217-545-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213809",
            "telephone_number": "217-464-1350",
            "fax_number": "217-464-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DANXUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036128323",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036128323",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036128323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlong104715@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1730 E Lake Shore Dr",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625213809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.