Active NPI
Paul Michael Eckerle, M.D.
- Pulmonary Disease Physician
- Belleville, IL
National Provider Identifier
1215317409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036156762
- Practice address
- 4600 Memorial Dr Ste 200
Belleville, IL 62226-5363 - Phone
- (618) 233-2220
- NPI assigned
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036156762 | IL | Primary |
Addresses
Primary practice location
4600 Memorial Dr Ste 200
Belleville, IL 62226-5363
Mailing address
4600 Memorial Dr Ste 200
Belleville, IL 62226-5363
Phone (618) 233-2220
Other practice location 1
4 Memorial Dr Ste 230
Alton, IL 62002-6704
Phone (618) 433-6750
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Saint Louis University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4600 Memorial Dr
Suite 200
Belleville, IL 62226-5363
Phone (618) 233-2220
Hospital & facility affiliations
- Alton Memorial Hospital
- Memorial Hospital
- Christian Hospital Northeast
- Jersey Community Hospital
- Community Hospital of Staunton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients |
Locations
4 Memorial Dr
Ste 230
Alton, IL 62002
Phone (618) 463-7874
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
4600 Memorial Dr
Ste 200
Belleville, IL 62226
Phone (618) 233-2220
660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
-
- Critical Access Hospital
- Staunton, IL
- NPI 1750308631
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1215317409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MEMORIAL DR STE 200",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265363",
"telephone_number": "618-233-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MEMORIAL DR STE 200",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265363",
"telephone_number": "618-233-2220"
}
],
"practiceLocations": [
{
"address_1": "4 Memorial Dr Ste 230",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620026704",
"country_code": "US",
"telephone_number": "618-433-6750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECKERLE",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036156762",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4600 Memorial Dr Ste 200",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "622265363",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.