Individual provider Active NPI

Patrick R Hemmer, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Springfield, IL
National Provider Identifier
1215908850
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036114938 Issued in IL
Practice address
800 E Carpenter St
Springfield, IL 62769-0001
Phone
(217) 544-6464
NPI assigned
Jan 31, 2006
Last updated
May 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036114938 IL Primary

Addresses

Primary practice location

800 E Carpenter St
Springfield, IL 62769-0001

Mailing address

PO Box 10200
Peoria, IL 61612-0200

Other identifiers 7

IdentifierTypeStateIssuer
32017OtherILPERSONAL CARE ID
14D0435736OtherILCLIA
684895OtherILHEALTHLINK
011112OtherILHEALTH ALLIANCE
020102500OtherILBLACK LUNG
036114938MedicaidIL
P00327016OtherILRAILROAD MEDICARE PIN

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
I20060811000067 IL Practitioner - Pathology 8426051491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Sanford School of Medicine of University of South Dakota, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists LTDGroup PAC ID 0345212866, 10 clinicians

Practice addresses (Care Compare)

1215 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 324-2191

12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2600

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

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 347-1234

800 E Carpenter St
Springfield, IL 62769-0002
Phone 217544646448225

9515 Holy Cross LN
Breese, IL 62230-3618
Phone (618) 654-2025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.82 of 100Reported as group
Quality
61.64
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists LTD Anatomic Pathology & Clinical Pathology CurrentSince Jul 3, 2006 Accepting new patients
Laboratory Physicians, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

200 S Cedar St
Shelbyville, IL 62565
Phone (217) 774-3961

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

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

Hospital & facility affiliations 7

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1215908850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10200",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616120200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627690001",
            "telephone_number": "217-544-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMER",
        "first_name": "PATRICK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036114938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE ID",
            "identifier": "32017",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0435736",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "684895",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "011112",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "020102500",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114938",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00327016",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.