Active NPI
Leidhy Mariana Montecinos, MD
- Student in an Organized Health Care Education/Training Program
- Forsyth, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 241 W Weaver Rd Ste 210
Forsyth, IL 62535-9769 - Phone
- (217) 876-5600
- Fax
- (217) 876-5664
- NPI assigned
- Aug 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 036175298 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
241 W Weaver Rd Ste 210
Forsyth, IL 62535-9769
Mailing address
241 W Weaver Rd Ste 210
Forsyth, IL 62535-9769
Phone (217) 876-5600
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
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
241 W Weaver Rd
Suite 210
Forsyth, IL 62535-9769
Phone (217) 876-6860
Hospital & facility affiliations
- Elara Caring V
- Advanced Healthcare Services, LLC
- Decatur Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners | Multi-Specialty | Current | Accepting new patients |
| Decatur Memorial Hospital | Multi-Specialty | Current | Accepting new patients |
| Decatur Memorial Hospital | Multi-Specialty | Current | Accepting new patients |
| Gibson Community Hospital Association | Multi-Specialty | Past | Accepting new patients |
Locations
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
241 W Weaver Rd
Ste 210
Forsyth, IL 62535
Phone (217) 876-5600
241 W Weaver Rd
Forsyth, IL 62535
Phone (217) 876-5220
Interoperability endpoints
- leidhymontecinos@memorial.allscriptsdirect.net
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.
-
- Multi-Specialty Clinic/Center
- Decatur, IL
- NPI 1477276301
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Multi-Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Springfield, IL
- NPI 1346398351
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
- Home Health Agency
- Springfield, IL
- NPI 1780823377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1336875392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 W WEAVER RD STE 210",
"city": "FORSYTH",
"state": "IL",
"postal_code": "625359769",
"telephone_number": "217-876-5600",
"fax_number": "217-876-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 W WEAVER RD STE 210",
"city": "FORSYTH",
"state": "IL",
"postal_code": "625359769",
"telephone_number": "217-876-5600",
"fax_number": "217-876-5664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTECINOS",
"first_name": "LEIDHY",
"middle_name": "MARIANA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036175298",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forsyth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.