Individual provider Active NPI

Amanda Rubush, MD

  • Family Medicine Physician
  • Decatur, IL
National Provider Identifier
1447513148
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036136464 Issued in IL
Practice address
4775 E Maryland St
Decatur, IL 62521-8820
Phone
(217) 864-3737
Fax
(217) 864-3468
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 036136464 IL Primary

Addresses

Primary practice location

4775 E Maryland St
Decatur, IL 62521-8820

Mailing address

4775 E Maryland St
Decatur, IL 62521-8820
Phone (217) 864-3737

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
I20150519000686 IL Practitioner - Family Practice 3274853064 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

4775 E Maryland St
Decatur, IL 62521-8802
Phone (217) 864-3737

Hospital & facility affiliations

  • Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036136464ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Memorial Hospital CurrentSince Jan 6, 2025 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 1, 2015 Accepting new patients
Memorial Health Partners Family Medicine Current Accepting new patients
Carle Health Care Incorporated Family Medicine CurrentSince Aug 25, 2015 Accepting new patients
Decatur Memorial Hospital Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
Methodist Medical Center of Illinois Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Aug 25, 2015 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Hoopeston Community Memorial Hospital Family Medicine Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

4775 E Maryland St
Decatur, IL 62521
Phone (217) 864-2700

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

4775 E Maryland St
Ste A
Decatur, IL 62521
Phone (217) 864-3737

2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

2512 Hurst Dr
Mattoon, IL 61938
Phone (217) 258-5900

2512 Hurst Dr
Ste 130
Mattoon, IL 61938
Phone (217) 258-5900

3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: amandarubush@memorial.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1447513148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 E MARYLAND ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625218820",
            "telephone_number": "217-864-3737",
            "fax_number": "217-864-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 E MARYLAND ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625218820",
            "telephone_number": "217-864-3737",
            "fax_number": "217-864-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBUSH",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036136464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.