Alyssa Crawford
Individual provider Active NPI Obstetrics & Gynecology Physician · Canton, IL
NPI 1407201940 · NPPES record last updated Apr 13, 2021
Key facts
- NPI
- 1407201940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 036153212 (IL)
- Practice address
- 180 S Main St
Canton, IL 61520-2608 - Phone
- (309) 647-0201
- NPI assigned
- May 3, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Graham Hospital Association
Practice addresses (Care Compare)
180 S Main St
Canton, IL 61520-2608
Phone (309) 647-0201
Hospital & facility affiliations
- Graham Hospital Association
- Graham Hospital Association
- Carle Health Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 62.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.37
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200729003323 | IL | Practitioner - Obstetrics/Gynecology | 7719273689 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036153212 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graham Hospital Association | Current |
Accepting new patients | |
| Graham Hospital Association | Current |
Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Graham Hospital Association | Past | Accepting new patients |
Locations
175 S Main St
Canton, IL 61520
Phone (309) 647-3937
180 S Main St
Canton, IL 61520
Phone (309) 647-5240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036153212 | IL | Yes |
Addresses
Primary practice location
180 S Main St
Canton, IL 61520-2608
Mailing address
180 S Main St
Canton, IL 61520-2608
Phone (309) 647-0201
Other names
- Alyssa F Thum
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alyssa.crawford@gmgil.eclinicaldirectplus.com | Health Information Exchange (HIE) | Graham Hospital Association |
Other providers in Canton, IL
- Kevin Glen Coleman
- Cassidy Dianne Collier
- Dawn Marie Cousins
- Helen Dianne Cox
- Kelsey Rae Cox
- Cubbull, Inc.
- John Howard Day
- Brianna Dean
- David W Dean
- Sandi Greene Deford
All providers in Canton, IL · Obstetrics & Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.