Carle West Physician Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CARLE WEST PHYSICIAN GROUP INC

Practice address

1302 Franklin Ave Ste 3400
Normal, IL 61761-6523

Phone

(309) 556-8295

NPI assigned

May 15, 2020

Last updated

May 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James C Leonard, M.D.NPI 1720344914

Title

President

Phone

(217) 383-3468

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO, MD, TX, FL, IA, HI, AL, NY, CA, CO, PA, MI, KS, SC, MA, WA, AZ, NM, UT, GA, SD, TN, OH24 enrollments

Enrollment records 24

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Carle West Physician Group Inc

  dba Carle McLean Orthopedic

  • Durable Medical Equipment & Medical Supplies
  • Bloomington, IL
  • NPI 1033866801

  8921420308

  Same PAC ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Carle Health Care Incorporated

  dba Carle Physician Group

  • Durable Medical Equipment & Medical Supplies
  • Effingham, IL
  • NPI 1366765786

  Member Of

  NPD member

Locations

Practitioners 805

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashraf Abdeljaber, M.D

  • Hospitalist Physician
  • Normal, IL
  • NPI 1023472636

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Kelly J Abrams, NP

  • Family Nurse Practitioner
  • Normal, IL
  • NPI 1447717525
  Medicare reassignment Care Compare group NPD
• Mutasem Ahmad Khaled Abuhalaweh, MD

  • Family Medicine Physician
  • Normal, IL
  • NPI 1639751456
  Medicare reassignment Care Compare group NPD
• Brandon W. Ahlers, CRNA

  • Certified Registered Nurse Anesthetist
  • Eureka, IL
  • NPI 1326487166
  Medicare reassignment Care Compare group NPD
• Viquar U Ahmed, P.A.-C

  • Physician Assistant
  • Harvey, IL
  • NPI 1811148059
  Medicare reassignment Care Compare group NPD
• Muhammad S Akhtar, M.D.

  • Interventional Cardiology Physician
  • Normal, IL
  • NPI 1336384460
  Medicare reassignment Care Compare group NPD
• Saba Akram, MD

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1043872708
  Medicare reassignment Care Compare group NPD
• Kerrie Armstrong, PH.D.

  • Psychologist
  • Bloomington, IL
  • NPI 1487093092
  Medicare reassignment Care Compare group NPD
• Lucas Casey Armstrong, MD

  • Orthopaedic Surgery Physician
  • Bloomington, IL
  • NPI 1174783880
  Medicare reassignment Care Compare group NPD
• Mukesh Arora, MD

  • Internal Medicine Physician
  • Crystal Lake, IL
  • NPI 1518975796
  Medicare reassignment Care Compare group NPD
• Xiao-Tian Austin, MD

  • Diagnostic Radiology Physician
  • Normal, IL
  • NPI 1174583744
  Medicare reassignment Care Compare group NPD
• Aamir Banday, M.D.

  • Emergency Medicine Physician
  • Springfield, IL
  • NPI 1467477810
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1467074138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529",
            "telephone_number": "217-383-6792",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE STE 3400",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616523",
            "telephone_number": "309-556-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLE WEST PHYSICIAN GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-383-3468",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Carl, APN
• Carle Bromenn Medical Center (Bromenn Family Health Clinic)
• Carle Bromenn Medical Center (Advocate BroMenn Medical Center)
• Carle Bromenn Medical Center (Advocate BroMenn Medical Center)
• Carle Bromenn Medical Center (The Atrium Pharmacy)
• Erin M Carmean, PA-C
• Eric Patrick Carr, PHARMD
• Erin Weslee Carr, CF-SLP
• Alessandra Carriero
• Cheri Carroll, L.C.S.W.

• Family Medicine Physician in Normal, IL
• Providers in Normal, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.