NPIMap

Individual provider Active NPI

Charles R Ellington, M.D.

  • Family Medicine Physician
  • Arthur, IL
National Provider Identifier
1407833130
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-101455 Issued in IL
Practice address
544 W Palmer St
Arthur, IL 61911-1240
Phone
(217) 281-3844
Fax
(217) 353-3130
NPI assigned
Dec 23, 2005
Last updated
May 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-101455 IL Primary

Addresses

Primary practice location

544 W Palmer St
Arthur, IL 61911-1240

Mailing address

101 W University Ave
Champaign, IL 61820-3981
Phone (217) 366-1255

Other identifiers 1

IdentifierTypeStateIssuer
036101455MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cellingtonmd312049@CarleHieDirect.net Direct

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
I20040507000350 IL Practitioner - Family Practice 9032108907 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Illinois Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christie Clinic, PLLCGroup PAC ID 7719899319, 219 clinicians

Practice addresses (Care Compare)

1801 Windsor Rd
Champaign, IL 61822-6217
Phone (217) 366-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-101455ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Jan 12, 2015 Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Aug 7, 2017 Accepting new patients
Board of Trustees of Southern Illinois University Family Medicine Current Accepting new patients
Siu Physicians & Surgeons, Inc Family Medicine CurrentSince Jan 12, 2015 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Aug 7, 2017 Accepting new patients
Christie Clinic, LLC CurrentSince Apr 1, 2021 Accepting new patients
Christie Clinic, PLLC Family Medicine CurrentSince Aug 17, 2020 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Community Health Improvement Center PastSince Jul 28, 2010 Accepting new patients

Locations

544 W Palmer St
Arthur, IL 61911
Phone (217) 281-3844

101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255

1801 W Windsor Rd
Champaign, IL 61822
Phone (217) 366-5434

250 W Kenwood Ave
Decatur, IL 62526
Phone (217) 872-3800

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

520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

Interoperability endpoints

  • Direct secure messaging: cellingtonmd312049@carlehiedirect.net
  • Direct secure messaging: charlesellington@sfc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Community Health Improvement CenterDecatur, IL, CCN 141830 Federally qualified health center Corporate Officer Jan 4, 2011
Chic at Macon County Health DepartmentDecatur, IL, CCN 781820 Federally qualified health center Corporate Officer Jul 1, 2013

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 10

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1407833130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203981",
            "telephone_number": "217-366-1255",
            "fax_number": "217-872-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 W PALMER ST",
            "city": "ARTHUR",
            "state": "IL",
            "postal_code": "619111240",
            "telephone_number": "217-281-3844",
            "fax_number": "217-353-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "CHARLES",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-101455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101455",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cellingtonmd312049@CarleHieDirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "544 W Palmer St",
            "city": "Arthur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "619111240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arthur, IL

Sources for this page

Verify at the official NPI Registry.