Active NPI
Donald Paul Kamm, MD
- Surgery Physician
- Decatur, IL
National Provider Identifier
1225005382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Practice address
- 441 W Hay St
Decatur, IL 62526-6324 - Phone
- (217) 424-2374
- Fax
- (217) 424-2383
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | IL | Primary |
Addresses
Primary practice location
441 W Hay St
Decatur, IL 62526-6324
Mailing address
109 Benton Dr
Decatur, IL 62526-1407
Phone (217) 875-1720
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007358 | Other | IL | HEALTH ALLIANCE |
| 107867 | Other | IL | HEALTHLINK |
| 0005800238 | Other | IL | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036044775 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225005382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BENTON DR",
"city": "DECATUR",
"state": "IL",
"postal_code": "625261407",
"telephone_number": "217-875-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 W HAY ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625266324",
"telephone_number": "217-424-2374",
"fax_number": "217-424-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMM",
"first_name": "DONALD",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "007358",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "107867",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0005800238",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.