Individual provider Active NPI

Jacques Papazian, M.D.

  • Family Medicine Physician
  • Mount Vernon, IL
National Provider Identifier
1366491193
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
4117 S Water Tower PL
Suite C
Mount Vernon, IL 62864-6293
Phone
(618) 242-0672
Fax
(618) 242-0862
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

4117 S Water Tower PL
Suite C
Mount Vernon, IL 62864-6293

Mailing address

PO Box 1389
Mount Vernon, IL 62864-0028
Phone (618) 242-0672

Other identifiers 4

IdentifierTypeStateIssuer
04127654OtherILBCBS OF IL PROVIDER ID#
293973OtherILHEALTHLINK PROVIDER ID#
027794OtherILHEALTH ALLIANCE ID#
55563OtherILGHP PROVIDER ID#

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
I20060801000147 IL Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 5496768574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Illinois Specialty Clinic, Inc.Group PAC ID 9830562016, 145 clinicians

Practice addresses (Care Compare)

3331 W Deyoung St
Marion, IL 62959-5896
Phone (618) 998-7600

Hospital & facility affiliations

  • Deaconess Illinois Crossroads Hospital, Mount Vernon, IL, CCN 140294
  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011

Merit-based Incentive Payment System (MIPS)

Final score
77.51 of 100Reported as group
Quality
49.04
Promoting interoperability
95
Improvement activities
40
Cost
69.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. Family Medicine Current Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Family Medicine CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Clinic, Inc Family Medicine Past Accepting new patients

Locations

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140

4117 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 242-0672

209 Crossroads Pl
Ste 150
Mount Vernon, IL 62864
Phone (618) 244-6222

4117 S Water Tower Pl
Ste C
Mount Vernon, IL 62864
Phone (618) 242-0672

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

Interoperability endpoints

  • Direct secure messaging: jpapazian420106@direct.deaconess.com
  • Direct secure messaging: papaziaj@yourcarecommunity.org
  • Direct secure messaging: jacques.papazian.1@27782.direct.athenahealth.com

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 5

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366491193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1389",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640028",
            "telephone_number": "618-242-0672",
            "fax_number": "618-242-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 S WATER TOWER PL",
            "address_2": "SUITE C",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646293",
            "telephone_number": "618-242-0672",
            "fax_number": "618-242-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAZIAN",
        "first_name": "JACQUES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER ID#",
            "identifier": "04127654",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER ID#",
            "identifier": "293973",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE ID#",
            "identifier": "027794",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP PROVIDER ID#",
            "identifier": "55563",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.