Individual provider Active NPI

James M Hitchcock, D.O.

  • Family Medicine Physician
  • Shiloh, IL
National Provider Identifier
1295725174
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-114626 Issued in IL
Practice address
1414 Cross St Ste 230
Shiloh, IL 62269-2941
Phone
(618) 607-1260
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-114626 IL Primary

Addresses

Primary practice location

1414 Cross St Ste 230
Shiloh, IL 62269-2941

Mailing address

1414 Cross St Ste 230
Shiloh, IL 62269-2941
Phone (618) 607-1260

Other practice location 1

311 W Lincoln St Ste 200
Belleville, IL 62220-1902
Phone (618) 234-2566

Other identifiers 7

IdentifierTypeStateIssuer
559539145OtherILBLUE CROSS BLUE SHIELD
P00912314OtherRR MEDICARE
2696788OtherUHC/COMMERCIAL
678480001OtherDMERC
1046930OtherGHP
7367913OtherAETNA
744967OtherHEALTHLINK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jhitchcock100313@ewd.direct.hshs.org Direct
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
I20060925000595 IL Practitioner - Family Practice 8123023298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Heights Medical Group SC 448 clinicians

Practice addresses (Care Compare)

1414 Cross St
Suite 230
Shiloh, IL 62269-2941
Phone (618) 607-1260

Hospital & facility affiliations

  • Mederi Caretenders of Fairview Heights Home health agency, Fairview Heights, IL, CCN 147289
  • HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031
  • Cedar Ridge Health & Rehab Ctr Nursing home, Lebanon, IL, CCN 145571

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-114626ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC Current Accepting new patients
Fairview Heights Medical Group SC CurrentSince Jan 1, 2024 Accepting new patients
Midwest Emergency Northern Illinois Inc Past Accepting new patients
Midwest Emergency Management, Inc. Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1414 Cross St
Ste 230
Shiloh, IL 62269
Phone (618) 607-1260

1414 Cross St
Ste 210
Shiloh, IL 62269
Phone (618) 607-1260

660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433

Interoperability endpoints

  • Direct secure messaging: jhitchcock100313@ewd.direct.hshs.org

Organizations & group practices 4

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 7

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1295725174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 CROSS ST STE 230",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622692941",
            "telephone_number": "618-607-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 CROSS ST STE 230",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622692941",
            "telephone_number": "618-607-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W Lincoln St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622201902",
            "country_code": "US",
            "telephone_number": "618-234-2566",
            "fax_number": "618-234-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITCHCOCK",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-114626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "559539145",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00912314",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/COMMERCIAL",
            "identifier": "2696788",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "678480001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "1046930",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7367913",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "744967",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhitchcock100313@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "311 W Lincoln St Ste 200",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622201902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1414 Cross St Ste 230",
            "city": "Shiloh",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.