Individual provider Active NPI

John M Furry, MD

  • Interventional Pain Medicine Physician
  • Decatur, IL
National Provider Identifier
1245237304
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036-098884 Issued in IL
Practice address
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone
(217) 464-2729
Fax
(217) 464-1693
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 01035280A IN
Interventional Pain Medicine Physician 208VP0014X 036-098884 IL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036-098884 IL
Surgery Physician 208600000X 01035280A IN
Surgery Physician 208600000X 036-098884 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 036098884 IL
Anesthesiology Physician 207L00000X 01035280A IN
Anesthesiology Physician 207L00000X 036-098884 IL

Addresses

Primary practice location

1800 E Lake Shore Dr
Decatur, IL 62521-3810

Mailing address

PO Box 25288
Decatur, IL 62525-5288
Phone (800) 444-6110

Other identifiers 2

IdentifierTypeStateIssuer
036098884MedicaidIL
036098884OtherILBCBS

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
I20070921000790 IL Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Interventional Pain Management 0446344394 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Consultants of Central Illinois LLCGroup PAC ID 7719071661, 4 clinicians

Practice addresses (Care Compare)

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 342-2121

Hospital & facility affiliations

  • St Marys Hospital Hospital, Decatur, IL, CCN 140166
  • Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
  • Pana Community Hospital Hospital, Pana, IL, CCN 141341
  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091
  • St Johns Hospital Hospital, Springfield, IL, CCN 140053

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01035280AINMDAnesthesiology Physician
036098884ILMDPain Medicine (Anesthesiology) Physician
036-098884ILMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Crnas Inc Anesthesiology CurrentSince Feb 3, 2016 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Kirby Medical Center CurrentSince Aug 24, 2021 Accepting new patients
Kirby Medical Center CurrentSince Aug 24, 2021 Accepting new patients
Anesthesia Pain Services LLC Anesthesiology CurrentSince Jul 1, 2008 Accepting new patients
Pain Consultants of Central Illinois LLC Pain Medicine CurrentSince Feb 14, 2007 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Anesthesia Services, LLC Anesthesiology Past Accepting new patients
Anesthesia Pain Services LLC Anesthesiology Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311

1505 Eastland Dr
Bloomington, IL 61701
Phone (309) 663-2100

646 W Pershing Rd
Decatur, IL 62526
Phone (217) 875-0300

304 W Hay St
Ste 213
Decatur, IL 62526
Phone (217) 875-1518

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1800 E Lake Shore Dr
Ste 2
Decatur, IL 62521
Phone (217) 464-5839

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

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

200 S Cedar St
Shelbyville, IL 62565
Phone (217) 774-3961

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 10

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 6

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1245237304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25288",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625255288",
            "telephone_number": "800-444-6110",
            "fax_number": "866-642-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213810",
            "telephone_number": "217-464-2729",
            "fax_number": "217-464-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURRY",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01035280A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036-098884",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036-098884",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01035280A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-098884",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036098884",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01035280A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-098884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098884",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "036098884",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.