Carle Health Care Incorporated

Organization Active NPI Durable Medical Equipment & Medical Supplies · Champaign, IL

NPI 1235452996 · NPPES record last updated Nov 8, 2021

Key facts

NPI
1235452996
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
CARLE HEALTH CARE INCORPORATED
Practice address
3105 Fields South Dr
Champaign, IL 61822-3743
Phone
(179) 023-9372
Fax
(217) 902-7751
NPI assigned
Mar 10, 2010
Organization subpart
No

Authorized official

Name
James Leonard, MD
Title
Ceo
Phone
(217) 902-5291

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1,592

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,592

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Carle Physician Group
3105 Fields South Dr, Champaign, IL 61822-3743 · (217) 902-3937
Ocular Prostheses Accepts assignment
Participating since Jan 29, 2024

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20101103000319 IL DME Supplier - Physician - Optometrist 3577515774 Practice locations: Champaign, IL

National Provider Directory

Tax ID family
Carle Health (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

3105 Fields South Dr
Champaign, IL 61822-3743

Mailing address

PO Box 6002
Urbana, IL 61803-6002
Phone (217) 383-8300

Other names

  • Carle Physician Group Doing business as

Other providers in Champaign, IL

All providers in Champaign, IL · Durable Medical Equipment & Medical Supplies in Illinois

Sources for this page

Verify at the official NPI Registry.