Individual provider Active NPI

Mary S Saunders, MD

  • Internal Medicine Physician
  • Springfield, IL
National Provider Identifier
1255301107
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036071398 Issued in IL
Practice address
2603 S 6TH St
Springfield, IL 62703-3807
Phone
(217) 528-0307
Fax
(217) 528-0034
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036071398 IL Primary

Addresses

Primary practice location

2603 S 6TH St
Springfield, IL 62703-3807

Mailing address

2603 S 6TH St
Springfield, IL 62703-3807
Phone (217) 528-0307

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
I20100303000364 IL Practitioner - Internal Medicine 9335284215

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2603 S 6TH St
Springfield, IL 62703-3807

PO Box
Suite 3428
Springfield, IL 62708-3428

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
71.79
Promoting interoperability
77
Improvement activities
40
Cost
75.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036071398ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Current Accepting new patients
Memorial Physician Services CurrentSince Jan 1, 2013 Accepting new patients
Family Medical Center of Chatham, LLC Current Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Memorial Physician Services CurrentSince Jan 1, 2013 Accepting new patients
Capitol Healthcare Medical Associates, LLC Internal Medicine Past Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

2603 S 6th St
Springfield, IL 62703
Phone (217) 299-0247

Interoperability endpoints

  • Direct secure messaging: marysaunders@sfc.allscriptsdirect.net
  • Direct secure messaging: marysaunders@memorial.allscriptsdirect.net

Organizations & group practices 6

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 3

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1255301107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627033807",
            "telephone_number": "217-528-0307",
            "fax_number": "217-528-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627033807",
            "telephone_number": "217-528-0307",
            "fax_number": "217-528-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036071398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.