Organization Active NPI

Rural Family Medicine Associates, LTD

  • Family Medicine Physician
  • Mascoutah, IL
National Provider Identifier
1366639759
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042007909 Issued in IL
Legal business name
RURAL FAMILY MEDICINE ASSOCIATES, LTD
Practice address
739 N Jefferson St
Suite 200
Mascoutah, IL 62258-1447
Phone
(618) 566-8810
Fax
(618) 566-7121
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
James C Althoff, MDNPI 1306952098
Title
President
Phone
(618) 566-8810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 042007909 IL Primary

Addresses

Primary practice location

739 N Jefferson St
Suite 200
Mascoutah, IL 62258-1447

Mailing address

739 N Jefferson St
Suite 200
Mascoutah, IL 62258-1447
Phone (618) 566-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050404000800 IL Part B Supplier - Clinic/Group Practice 2264489038 Receives reassigned benefits from 10 practitioners
Practice locations: Mascoutah, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0890779Rural Family Medicine LTD739 North Jefferson St Suite 200, Mascoutah, IL 62258Provider-performed microscopyJan 15, 2028

National Provider Directory

National Provider Directory

Locations

251 Marketplace Dr
#1
Freeburg, IL 62243
Phone (618) 539-0067

302 W Washington St
Freeburg, IL 62243
Phone (618) 539-0067

739 N Jefferson St
#200
Mascoutah, IL 62258
Phone (618) 539-0067

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1366639759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 N JEFFERSON ST",
            "address_2": "SUITE 200",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622581447",
            "telephone_number": "618-566-8810",
            "fax_number": "618-566-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 N JEFFERSON ST",
            "address_2": "SUITE 200",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622581447",
            "telephone_number": "618-566-8810",
            "fax_number": "618-566-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL FAMILY MEDICINE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "ALTHOFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-566-8810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042007909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mascoutah, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.