Individual provider Active NPI

Margaret Louisa Tate, DO

  • Family Medicine Physician
  • Mattoon, IL
National Provider Identifier
1215467154
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036150937 Issued in IL
Practice address
2512 Hurst Dr Ste 120
Mattoon, IL 61938-9200
Phone
(217) 258-5900
Fax
(217) 258-3686
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125070285 IL
Family Medicine Physician 207Q00000X 036150937 IL Primary

Addresses

Primary practice location

2512 Hurst Dr Ste 120
Mattoon, IL 61938-9200

Mailing address

2512 Hurst Dr Ste 120
Mattoon, IL 61938-9200
Phone (217) 258-5900

Other practice location 1

241 W Weaver Rd Ste 145B
Forsyth, IL 62535-9766
Phone (217) 876-5220

Other practice location 2

611 W Park St
Urbana, IL 61801-2529
Phone (217) 326-1297

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
I20200622002940 IL Practitioner - Family Practice 2163788043 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
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)

200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900

2512 Hurst Dr
Suite 130
Mattoon, IL 61938-9200
Phone (217) 258-5900

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

701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036150937ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Decatur Memorial Hospital CurrentSince Oct 1, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
McDonough County Hospital District CurrentSince Oct 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 1, 2020 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Dec 6, 2023 Accepting new patients
McDonough County Hospital District CurrentSince Oct 1, 2023 Accepting new patients
Decatur Memorial Hospital Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Hoopeston Community Memorial Hospital Family Medicine CurrentSince Dec 6, 2023 Accepting new patients
Carle Health Care Incorporated Family Medicine CurrentSince Dec 6, 2023 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352

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

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

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917

515 E Grant St
Ste 213
Macomb, IL 61455
Phone (309) 836-1700

2512 Hurst Dr
Ste 120
Mattoon, IL 61938
Phone (217) 258-5900

2512 Hurst Dr
Ste 130
Mattoon, IL 61938
Phone (217) 258-5900

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

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

1405 W Park St
Urbana, IL 61801
Phone (217) 337-3240

Organizations & group practices 11

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 9

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1215467154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 HURST DR STE 120",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389200",
            "telephone_number": "217-258-5900",
            "fax_number": "217-258-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 HURST DR STE 120",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389200",
            "telephone_number": "217-258-5900",
            "fax_number": "217-258-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 W Weaver Rd Ste 145B",
            "address_purpose": "LOCATION",
            "city": "Forsyth",
            "state": "IL",
            "postal_code": "625359766",
            "country_code": "US",
            "telephone_number": "217-876-5220",
            "fax_number": "217-876-1702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 W Park St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012529",
            "country_code": "US",
            "telephone_number": "217-326-1297",
            "fax_number": "217-326-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "MARGARET",
        "middle_name": "LOUISA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125070285",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036150937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.