Active NPI
James M Lafata, M.D.
- Internal Medicine Physician
- Springfield, IL
National Provider Identifier
1407866270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036064343
- Practice address
- 2901 Old Jacksonville Rd
Springfield, IL 62704-7437 - Phone
- (217) 698-9722
- Fax
- (217) 391-0392
- NPI assigned
- Aug 8, 2006
- Last updated
- Sep 26, 2014
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036064343 | IL | Primary |
Addresses
Primary practice location
2901 Old Jacksonville Rd
Springfield, IL 62704-7437
Mailing address
PO Box 500
Chatham, IL 62629-0500
Phone (217) 670-2424
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD7143 | Other | IL | RR MEDICARE GROUP |
| 036064343 | Other | IL | IL STATE LICENSE |
| 036064343 | Medicaid | IL | |
| 091117 | Other | IL | HEALTH ALLIANCE |
| 100843 | Other | IL | HEALTHLINK |
| 14D0949277 | Other | IL | CLIA |
| 020057300 | Other | IL | BLACK LUNG |
| P00144455 | Other | IL | RR MEDICARE PIN |
| 08421024 | Other | IL | BC/BS |
| 6394P | Other | IL | CATERPILLAR |
| 133586700 | Other | IL | ACS-OWCP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036064343 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Past | Accepting new patients | |
| Physicians Group Associates S C | Internal Medicine | Past | Accepting new patients |
| Physicians Group Associates S C | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1275565988
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1689606246
-
- Nurse Practitioner
- Springfield, IL
- NPI 1841216975
-
- Rural Health Clinic/Center
- New Berlin, IL
- NPI 1366779282
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, IL
- NPI 1629465414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1407866270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500",
"city": "CHATHAM",
"state": "IL",
"postal_code": "626290500",
"telephone_number": "217-670-2424",
"fax_number": "217-670-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 OLD JACKSONVILLE RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627047437",
"telephone_number": "217-698-9722",
"fax_number": "217-391-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFATA",
"first_name": "JAMES",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036064343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CD7143",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE LICENSE",
"identifier": "036064343",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036064343",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "091117",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "100843",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "14D0949277",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "020057300",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00144455",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "08421024",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CATERPILLAR",
"identifier": "6394P",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS-OWCP",
"identifier": "133586700",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.