Individual provider Active NPI

Seema Garg

  • Pediatrics Physician
  • Charleston, IL
National Provider Identifier
1356369235
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036099042 Issued in IL
Practice address
116 W Buchanan Ave
Charleston, IL 61920-2522
Phone
(217) 345-7700
Fax
(217) 345-7200
NPI assigned
Jul 18, 2006
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036099042 IL Primary
Pediatric Adolescent Medicine Physician 2080A0000X 01058542 IN

Addresses

Primary practice location

116 W Buchanan Ave
Charleston, IL 61920-2522

Mailing address

PO Box 372
Mattoon, IL 61938-0372
Phone (217) 868-2812

Other practice location 1

215 S Hutchinson Ave
Muncie, IN 47303-4774
Phone (765) 716-4995

Other practice location 2

62 N Ayer St Ste Aandb
Harvard, IL 60033-2870
Phone (815) 943-4339

Other identifiers 1

IdentifierTypeStateIssuer
200465710MedicaidIN

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
I20181112000974 IL Practitioner - Pediatric Medicine 5890779094 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Oct 1, 2018 Accepting new patients
Community Health Partnership of Illinois CurrentSince Feb 24, 2021 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Community Health Partnership of Illinois CurrentSince Feb 24, 2021 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jun 12, 2023 Accepting new patients
Community Health Partnership of Illinois Current Accepting new patients
Arnett Clinic, LLC Past Accepting new patients
Sigma Medical Group, LLC Past Accepting new patients
Arnett Clinic, LLC Past Accepting new patients

Locations

157 S Lincoln Ave
Ste D
Aurora, IL 60505
Phone (630) 859-0015

116 W Buchanan Ave
Charleston, IL 61920
Phone (217) 345-7700

205 W Randolph St
Ste 2222
Chicago, IL 60606
Phone (312) 795-0000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

62 N Ayer St
Harvard, IL 60033
Phone (815) 943-4339

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1356369235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372",
            "telephone_number": "217-868-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W BUCHANAN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202522",
            "telephone_number": "217-345-7700",
            "fax_number": "217-345-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 S Hutchinson Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473034774",
            "country_code": "US",
            "telephone_number": "765-716-4995",
            "fax_number": "765-587-4681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 N Ayer St Ste Aandb",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "IL",
            "postal_code": "600332870",
            "country_code": "US",
            "telephone_number": "815-943-4339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARG",
        "first_name": "SEEMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036099042",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IN",
            "license": "01058542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200465710",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, IL

Sources for this page

Verify at the official NPI Registry.