Active NPI
James E Manint, D.O.
- Family Medicine Physician
- Monticello, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-058029
- Practice address
- 1111 N State St
Monticello, IL 61856-1104 - Phone
- (217) 762-2506
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-058029 | IL | Primary |
Addresses
Primary practice location
1111 N State St
Monticello, IL 61856-1104
Mailing address
1000 Medical Center Dr
Monticello, IL 61856-2116
Phone (217) 762-6241
Other practice location 1
1000 Medical Center Dr
Monticello, IL 61856-2116
Phone (217) 762-6241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36058029 | Medicaid | IL | |
| 036-058029 | Other | IL | STATE LICENSE # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmanint@kmc.kirbymedicalcenter.net | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-058029 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Piatt County Nursing Home | Skilled nursing facility | W-2 Managing Employee Operational/Managerial Control Adp of the SNF |
Jun 1, 2022 Dec 12, 2024 Dec 27, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Piatt County Nursing Home
- Skilled Nursing Facility
- Monticello, IL
- NPI 1295814556
Adp of the SNF, Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Monticello, IL
- NPI 1386635373
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1376534420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER DR",
"city": "MONTICELLO",
"state": "IL",
"postal_code": "618562116",
"telephone_number": "217-762-6241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N STATE ST",
"city": "MONTICELLO",
"state": "IL",
"postal_code": "618561104",
"telephone_number": "217-762-2506"
}
],
"practiceLocations": [
{
"address_1": "1000 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "IL",
"postal_code": "618562116",
"country_code": "US",
"telephone_number": "217-762-6241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANINT",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-058029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36058029",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "036-058029",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmanint@kmc.kirbymedicalcenter.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1000 Medical Center Dr",
"city": "Monticello",
"state": "IL",
"country_code": "US",
"postal_code": "618562116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monticello, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.