Individual provider Active NPI

Pooja Sheth-Dutt, MD

  • Family Medicine Physician
  • Forsyth, IL
National Provider Identifier
1346735065
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-157024 Issued in IL
Practice address
241 W Weaver Rd
Forsyth, IL 62535-9762
Phone
(217) 876-5220
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125072847 IL
Family Medicine Physician 207Q00000X 036-157024 IL Primary

Addresses

Primary practice location

241 W Weaver Rd
Forsyth, IL 62535-9762

Mailing address

241 W Weaver Rd
Forsyth, IL 62535-9762
Phone (217) 876-5220

Other names 1

  • Dr. Pooja Sheth Former name

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
I20210608000211 IL Practitioner - Family Practice 1557619541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

241 W Weaver Rd
Suite 145B
Forsyth, IL 62535-9766
Phone (217) 876-5220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.88 of 100Reported as group
Quality
63.91
Improvement activities
40
Cost
77.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-157024ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Decatur Memorial Hospital Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Jul 12, 2021 Accepting new patients
Board of Trustees of Southern Illinois University Family Medicine Current Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Jul 12, 2021 Accepting new patients

Locations

102 W Kenwood Ave
Ste 100
Decatur, IL 62526
Phone (217) 872-3800

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 240
Forsyth, IL 62535
Phone (217) 876-5290

241 W Weaver Rd
Forsyth, IL 62535
Phone (217) 876-5220

520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100

Interoperability endpoints

  • Direct secure messaging: poojasheth-dutt@sfc.allscriptsdirect.net

Organizations & group practices 6

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 4

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1346735065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W WEAVER RD",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625359762",
            "telephone_number": "217-876-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W WEAVER RD",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625359762",
            "telephone_number": "217-876-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH-DUTT",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125072847",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-157024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POOJA",
            "last_name": "SHETH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forsyth, IL

Sources for this page

Verify at the official NPI Registry.