Individual provider Active NPI

Malec A Mokraoui, MD

  • Cardiovascular Disease Physician
  • Danville, IL
National Provider Identifier
1215949656
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036103829 Issued in IL
Practice address
2300 N. Vermilion Avenue
Medical Sub-Specialties
Danville, IL 61832
Phone
(217) 554-1700
Fax
(217) 554-1704
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036103829 IL Primary

Addresses

Primary practice location

2300 N. Vermilion Avenue
Medical Sub-Specialties
Danville, IL 61832

Mailing address

611 W Park St
BWPC
Urbana, IL 61801-2529
Phone (217) 383-6792

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
I20050504000995 IL Practitioner - Cardiovascular Disease (Cardiology) 1153361621 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care Incorporated 1,592 clinicians
Hoopeston Community Memorial Hospital 142 clinicians

Practice addresses (Care Compare)

516 W Madison St
Danville, IL 61832-5657
Phone (217) 431-7902

611 W Park St
Urbana, IL 61801-2500

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

Hospital & facility affiliations

  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091
  • Carle Hoopeston Regional Health Center Hospital, Hoopeston, IL, CCN 141316
  • Osf Sacred Heart Medical Center Hospital, Danville, IL, CCN 140093

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Memorial Hospital, Inc Current Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Nov 18, 2017 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Carle Health Care Incorporated Cardiovascular Disease CurrentSince Apr 1, 2010 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Oct 15, 2012 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Nov 18, 2017 Accepting new patients
Hoopeston Community Memorial Hospital Cardiovascular Disease CurrentSince Oct 15, 2012 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2300 N Vermilion St
Danville, IL 61832
Phone (217) 431-7600

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

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

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

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

810 W Anthony Dr
Urbana, IL 61802
Phone (217) 326-2911

Interoperability endpoints

  • Direct secure messaging: mmokraouimd94686@carlehiedirect.net

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1215949656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529",
            "telephone_number": "217-383-6792",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N. VERMILION AVENUE",
            "address_2": "MEDICAL SUB-SPECIALTIES",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-554-1700",
            "fax_number": "217-554-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKRAOUI",
        "first_name": "MALEC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036103829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.