Individual provider Active NPI

Paul G Rhodes, D.C.

  • Chiropractor
  • Effingham, IL
National Provider Identifier
1306928007
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009245 Issued in IL
Practice address
200 E Fayette Ave
Effingham, IL 62401-3613
Phone
(217) 821-0000
Fax
(855) 611-8214
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009245 IL Primary

Addresses

Primary practice location

200 E Fayette Ave
Effingham, IL 62401-3613

Mailing address

PO Box 22
Effingham, IL 62401-0022
Phone (217) 821-0000

Other identifiers 1

IdentifierTypeStateIssuer
02527033OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000358 IL Practitioner - Chiropractic 5294791844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 E Fayette Ave
Effingham, IL 62401-3613
Phone (217) 500-3027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph J Solan P.C. CurrentSince Apr 21, 2018 Accepting new patients
Rhodes to Health, LLC Chiropractor CurrentSince Jul 8, 2019 Accepting new patients
Back & Body Works Chiropractor Past Accepting new patients

Locations

212 N 4th St
Effingham, IL 62401
Phone (217) 347-5812

200 E Fayette Ave
Effingham, IL 62401
Phone (217) 500-3027

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1306928007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624010022",
            "telephone_number": "217-821-0000",
            "fax_number": "855-611-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E FAYETTE AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013613",
            "telephone_number": "217-821-0000",
            "fax_number": "855-611-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "PAUL",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02527033",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.