Active NPI
Carle Health Medical Group
Doing business as Carle Physician Group
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CARLE HEALTH MEDICAL GROUP
- Doing business as
- Carle Physician Group
- Practice address
- 3105 Fields South Dr
Champaign, IL 61822-3743 - Phone
- (179) 023-9372
- Fax
- (217) 902-7751
- NPI assigned
- Mar 10, 2010
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Leonard, MD
- Title
- Ceo
- Phone
- (217) 902-5291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
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 1
- Carle Physician Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101103000319 | IL | DME Supplier - Physician - Optometrist | 3577515774 | Practice locations: Champaign, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
3577515774
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Carle Physician Group | Ocular Prostheses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Nurses at Home by Carle
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Educator
- Danville, IL
- NPI 1083541999
-
- Health Educator
- Champaign, IL
- NPI 1225996580
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1336482025
-
- Durable Medical Equipment & Medical Supplies
- Decatur, IL
- NPI 1437465325
-
- Home Health Agency
- Champaign, IL
- NPI 1881675635
Locations
3105 Fields South Dr
Champaign, IL 61822
Phone (217) 902-3277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1235452996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6002",
"city": "URBANA",
"state": "IL",
"postal_code": "618036002",
"telephone_number": "217-383-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 FIELDS SOUTH DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618223743",
"telephone_number": "179-023-9372",
"fax_number": "217-902-7751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLE HEALTH MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-10",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "LEONARD",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "217-902-5291",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carle Physician Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Carle Physician Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Champaign, IL
- Carle Health Care Incorporated
- Carle Health Care Incorporated
- Carle Health Care Incorporated
- Carle Health Care Incorporated (Carle Physician Group)
- Carle Health Care Incorporated (Carle Physician Group)
- Carle Healthcare, Inc. (Arrow Medical Services)
- Jennifer Carleton, LPC
- Anita M Carmona, MSW
- Caleb Carr, RBT
- Juana Carrillo, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.