Individual provider Active NPI

Steven D Pritchett, M.D.

  • Family Medicine Physician
  • Mascoutah, IL
National Provider Identifier
1225084197
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036101947 Issued in IL
Practice address
739 N Jefferson St
Suite 200
Mascoutah, IL 62258-1447
Phone
(618) 566-8810
Fax
(618) 566-7121
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036101947 IL Primary

Addresses

Primary practice location

739 N Jefferson St
Suite 200
Mascoutah, IL 62258-1447

Mailing address

739 N Jefferson St
Suite 200
Mascoutah, IL 62258-1447
Phone (618) 566-8810

Other identifiers 1

IdentifierTypeStateIssuer
036101947MedicaidIL

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
I20100722000676 IL Practitioner - Family Practice 0446382659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Surgical Associates, LTD.Group PAC ID 9335320597, 25 clinicians

Practice addresses (Care Compare)

1414 Cross St
Shiloh, IL 62269-2941
Phone (618) 277-7400

Hospital & facility affiliations

  • Mederi Caretenders of Fairview Heights Home health agency, Fairview Heights, IL, CCN 147289
  • HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
  • Amedisys Home Health Home health agency, O Fallon, IL, CCN 148004
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • St Josephs Hospital Hospital, Breese, IL, CCN 140145
  • Washington County Hospital Hospital, Nashville, IL, CCN 141308
  • St Johns Hospital Hospital, Springfield, IL, CCN 140053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036101947ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Surgical Associates, LTD. Family Medicine CurrentSince Jan 1, 2025 Accepting new patients

Locations

739 N Jefferson St
#200
Mascoutah, IL 62258
Phone (618) 566-8810

1414 Cross St
Ste 330
Shiloh, IL 62269
Phone (618) 228-8610

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.

Hospital & facility affiliations 10

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1225084197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 N JEFFERSON ST",
            "address_2": "SUITE 200",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622581447",
            "telephone_number": "618-566-8810",
            "fax_number": "618-566-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 N JEFFERSON ST",
            "address_2": "SUITE 200",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622581447",
            "telephone_number": "618-566-8810",
            "fax_number": "618-566-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "STEVEN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036101947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101947",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mascoutah, IL

Sources for this page

Verify at the official NPI Registry.