Individual provider Active NPI

Cyril Kamya, M.D

  • Surgery Physician
  • Herrin, IL
National Provider Identifier
1245783588
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036164014 Issued in IL
Practice address
317 S 14TH St Ste 1
Herrin, IL 62948-3673
Phone
(618) 988-6171
NPI assigned
Aug 3, 2016
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Surgery Physician 208600000X 036164014 IL Primary

Addresses

Primary practice location

317 S 14TH St Ste 1
Herrin, IL 62948-3673

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200

Other practice location 1

3608 Ladera Dr NW
Apt c308
Albuquerque, NM 87120-1779
Phone (505) 401-3724

Other practice location 2

220 S Park Ave Fl 3
Herrin, IL 62948-3602
Phone (618) 942-2002

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ckamya64584@sih.direct-ci.com
Direct Messaging Address ckamya64584@sih.direct-ci.com

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
I20230817003460 IL Practitioner - General Surgery 4385932664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

317 S 14TH St
Herrin, IL 62948-3671
Phone (618) 988-6171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
55.9
Promoting interoperability
100
Improvement activities
40
Cost
72.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Medical Services, NFP CurrentSince Aug 7, 2023 Accepting new patients
Southern Illinois Hospital Services PastSince Aug 7, 2023 Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

220 S Park Ave
Fl 3
Herrin, IL 62948
Phone (618) 942-2002

317 S 14th St
Herrin, IL 62948
Phone (618) 942-2002

317 S 14th St
Ste 1
Herrin, IL 62948
Phone (618) 988-6025

Interoperability endpoints

  • Direct secure messaging: ckamya64584@sih.direct-ci.com
  • Direct secure messaging: cyril.kamya.1@6965.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1245783588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-457-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S 14TH ST STE 1",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483673",
            "telephone_number": "618-988-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3608 Ladera Dr NW",
            "address_2": "Apt c308",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871201779",
            "country_code": "US",
            "telephone_number": "505-401-3724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S Park Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483602",
            "country_code": "US",
            "telephone_number": "618-942-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMYA",
        "first_name": "CYRIL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036164014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckamya64584@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "317 S 14th St Ste 1",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckamya64584@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "220 S Park Ave Fl 3",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.