Sebastien Simon Kairouz, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036128725 Issued in IL

Practice address

210 W McKinley Ave
Suite 1
Decatur, IL 62526-5858

Phone

(217) 877-9442

Fax

(217) 233-1670

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Medical OncologyAlso: Hematology/Oncology, Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cancer Care Specialists of Central Illinois SCGroup PAC ID 5991619116, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Hospital Hospital, Decatur, IL, CCN 140166
• Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
• Kirby Medical Center Hospital, Monticello, IL, CCN 141301

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cancer Care Specialists of Central Illinois, S.C.

  • Medical Oncology Physician
  • Decatur, IL
  • NPI 1871580142

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD
• Cancer Care Specialists of Central Illinois, S.C

  • Community/Retail Pharmacy
  • Decatur, IL
  • NPI 1356874093
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Snow Canyon Clinic, Inc.

  • Multi-Specialty Clinic/Center
  • Ivins, UT
  • NPI 1235185646
  NPD (past)

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

• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1548357973
  Care Compare affiliation
• Kirby Medical Center

  • Land Ambulance
  • Monticello, IL
  • NPI 1598869133

  Hospital

  Care Compare affiliation
• Kirby Medical Center

  • Critical Access Hospital
  • Monticello, IL
  • NPI 1730179847
  Care Compare affiliation
• St Marys Hospital Decatur of the Hospital Sisters of the Third Order

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1326041229
  Care Compare affiliation

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1396701009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MCKINLEY AVE",
            "address_2": "SUITE 1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625265858",
            "telephone_number": "217-877-9442",
            "fax_number": "217-233-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MCKINLEY AVE",
            "address_2": "SUITE 1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625265858",
            "telephone_number": "217-877-9442",
            "fax_number": "217-233-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIROUZ",
        "first_name": "SEBASTIEN",
        "middle_name": "SIMON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0067931",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036128725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218702700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Russell Jurgens, DDS
• Carl Edward Jurgens, DDS
• Daniel Patrick Jurgens, DMD
• K M B S C
• Jeanne Marie Kairouz, MD
• Kaloupek Counseling, LLC
• Heather Michelle Kaloupek, LCSW
• Shahana Kamalenthiran, M.D.
• Amisha Kamath, MD
• Donald Paul Kamm, MD

• Hematology & Oncology Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.