Individual provider Active NPI

Leidhy Mariana Montecinos, MD

  • Student in an Organized Health Care Education/Training Program
  • Forsyth, IL
National Provider Identifier
1336875392
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730001664 IL Practitioner - Internal Medicine 7416464730 Reassigns benefits to 1 organization

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
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

241 W Weaver Rd
Suite 210
Forsyth, IL 62535-9769
Phone (217) 876-6860

Hospital & facility affiliations

  • Elara Caring V Home health agency, Springfield, IL, CCN 148086
  • Advanced Healthcare Services, LLC Home health agency, Springfield, IL, CCN 147945
  • Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Multi-Specialty Current Accepting new patients
Decatur Memorial Hospital Multi-Specialty CurrentSince Jul 31, 2025 Accepting new patients
Decatur Memorial Hospital Multi-Specialty CurrentSince Jul 31, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.