Active NPI
Kenneth R. Sagins, M.D.
- Internal Medicine Physician
- Sherman, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-092193
- Practice address
- 400 Saint Johns Dr
Sherman, IL 62684-9779 - Phone
- (217) 528-7541
- NPI assigned
- Sep 23, 2006
- Last updated
- May 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-092193 | IL | Primary |
| Pediatrics Physician | 208000000X | 036092193 | IL |
Addresses
Primary practice location
400 Saint Johns Dr
Sherman, IL 62684-9779
Mailing address
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092193 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kennethsagins@sfc.allscriptsdirect.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Southern Illinois University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Saint Johns Dr
Sherman, IL 62684-9779
Phone (217) 525-4150
Hospital & facility affiliations
- Abraham Lincoln Memorial Hospital
- St Johns Hospital
- St Joseph Medical Center
- Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-092193 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current | Accepting new patients |
Locations
300 N Broad St
Carlinville, IL 62626
Phone (217) 544-2020
400 Saint Johns Dr
Sherman, IL 62684
Phone (217) 525-4150
1025 S 6th St
Springfield, IL 62703
1025 S 7th St
Springfield, IL 62703
Phone (217) 525-7541
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
Interoperability endpoints
- kenneth.sagins.2@28977.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 6
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| SC Home Health NFP | Home health agency | Corporate Director | Jul 17, 2023 |
| Springfield Clinic Lincoln Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 1999 |
| Springfield Clinic Nokomis Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 1999 |
| Springfield Clinic Raymond Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 1999 |
| Springfield Clinic Neoga Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 1999 |
| Springfield Clinic, LLP | Rural health clinic | Limited Partnership Interest | Jan 1, 1999 |
Owned or controlled facilities with NPI records 6
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Raymond, IL
- NPI 1013255942
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Macomb, IL
- NPI 1730831157
Limited Partnership Interest
-
dba Springfield Clinic Rural Health Neoga
- Rural Health Clinic/Center
- Neoga, IL
- NPI 1972790889
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Lincoln, IL
- NPI 1518143452
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Nokomis, IL
- NPI 1922285600
Limited Partnership Interest
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lincoln, IL
- NPI 1154329753
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1275633968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032403",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAINT JOHNS DR",
"city": "SHERMAN",
"state": "IL",
"postal_code": "626849779",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGINS",
"first_name": "KENNETH",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-092193",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036092193",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092193",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kennethsagins@sfc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "400 Saint Johns Dr",
"city": "Sherman",
"state": "IL",
"country_code": "US",
"postal_code": "626849779",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sherman, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.