Individual provider Active NPI

Sarah Graham Majcina, MD

  • Pediatrics Physician
  • Springfield, IL
National Provider Identifier
1447460456
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-135059 Issued in IL
Practice address
415 N 9TH St
Suite 4W64
Springfield, IL 62702-5303
Phone
(217) 545-8000
Fax
(217) 757-6519
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2010009167 MO
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 2010009167 MO
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 036-135059 IL
Pediatrics Physician 208000000X 036-135059 IL Primary

Addresses

Primary practice location

415 N 9TH St
Suite 4W64
Springfield, IL 62702-5303

Mailing address

PO Box 19676
Springfield, IL 62794-9676
Phone (217) 545-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smajcina167190@ewd.direct.hshs.org 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006001936 IL Practitioner - Pediatric Medicine 7719010214 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-135059ILMDPediatric Emergency Medicine (Pediatrics) Physician
2010009167MOMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 4, 2014 Accepting new patients
Cepamerica Illinois LLP CurrentSince Mar 25, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 4, 2014 Accepting new patients
Cepamerica Illinois LLP CurrentSince Mar 25, 2024 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Siu Physicians & Surgeons, Inc Pediatrics Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

415 N 9th St
Ste 4W64
Springfield, IL 62702

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

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1447460456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19676",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949676",
            "telephone_number": "217-545-8000",
            "fax_number": "217-757-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 9TH ST",
            "address_2": "SUITE 4W64",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025303",
            "telephone_number": "217-545-8000",
            "fax_number": "217-757-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJCINA",
        "first_name": "SARAH",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2010009167",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MO",
            "license": "2010009167",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "IL",
            "license": "036-135059",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-135059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smajcina167190@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "415 N 9th St",
            "address_2": "Suite 4W64",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627025303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.