NPIMap

Individual provider Active NPI

Sue A Strayer, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Decatur, IL
National Provider Identifier
1376504365
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Practice address
1800 E Lake Shore Drive
St Marys-Decatur
Decatur, IL 62521-3883
Phone
(217) 464-2966
Fax
(217) 464-3193
NPI assigned
Mar 29, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
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
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X IL Primary

Addresses

Primary practice location

1800 E Lake Shore Drive
St Marys-Decatur
Decatur, IL 62521-3883

Mailing address

PO Box 790129
St Louis, MO 63179-0129
Phone (217) 964-2966

Other identifiers 1

IdentifierTypeStateIssuer
0360800151MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000890 IL Practitioner - Pathology 6002870458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K M B S CGroup PAC ID 1951365303, 3 clinicians

Practice addresses (Care Compare)

422 W White St
Clinton, IL 61727-2272
Phone (217) 935-9571

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Current Accepting new patients
Gibson Community Hospital Association CurrentSince Aug 12, 2018 Accepting new patients
City of Clinton Current Accepting new patients
Gibson Community Hospital Association CurrentSince Aug 12, 2018 Accepting new patients
K M B S C Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 1987 Accepting new patients

Locations

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carle Eureka HospitalEureka, IL, CCN 141309 Hospital Corporate Director Jan 1, 2018
Carle Eureka HospitalEureka, IL, CCN 14Z309 Hospital Corporate Director Jan 1, 2018
Carle Bromenn Medical CenterNormal, IL, CCN 14T127 Hospital Corporate Director Jan 1, 2018
Carle Bromenn Medical CenterNormal, IL, CCN 140127 Hospital Corporate Director Jan 1, 2018
Carle Eureka Family Medicine-EurekaEureka, IL, CCN 148581 Rural health clinic Corporate Director Jan 1, 2018
Carle Eureka Family Medicine - El PasoEl Paso, IL, CCN 148582 Rural health clinic Corporate Director Jan 1, 2018

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376504365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790129",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631790129",
            "telephone_number": "217-964-2966",
            "fax_number": "217-464-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E LAKE SHORE DRIVE",
            "address_2": "ST MARYS-DECATUR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213883",
            "telephone_number": "217-464-2966",
            "fax_number": "217-464-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAYER",
        "first_name": "SUE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360800151",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.