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Carle West Physician Group Inc

Organization Active NPI Family Medicine Physician · Normal, IL

NPI 1467074138 · NPPES record last updated May 15, 2020

Key facts

NPI
1467074138
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 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
Organization subpart
No

Authorized official

Name
James C Leonard, M.D.
Title
President
Phone
(217) 383-3468

Other NPIs with the same Medicare PAC ID 1

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

Member of 1

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

Practitioners 804

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 804

Medicare participation

Medicare fee-for-service enrollment
Enrolled (24 enrollments) in IL, MO, MD, TX, FL, IA, HI, AL, NY, CA, CO, PA, MI, KS, SC, MA, WA, AZ, NM, UT, GA, SD, TN, OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200613000147 IL Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 741 practitioners
Practice locations: Peoria, IL; Normal, IL; Pontiac, IL; Roanoke, IL; Urbana, IL; Bloomington, IL; Champaign, IL; Dunlap, IL…
O20220601002249 MO Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 3 practitioners
Practice locations: Parkville, MO; Saint Louis, MO; Richmond Heights, MO
O20220607000298 MD Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 2 practitioners
Practice locations: Annapolis, MD; Baltimore, MD
O20220607001523 TX Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 4 practitioners
Practice locations: Austin, TX; Coppell, TX; Dallas, TX; Allen, TX
O20220609000985 FL Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 6 practitioners
Practice locations: Miami, FL; St Petersburg, FL; Tampa, FL; Weston, FL; Fort Lauderdale, FL
O20220715000576 IA Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 2 practitioners
Practice locations: Coralville, IA
O20230309000537 HI Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI; Kailua, HI
O20230329002169 AL Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 2 practitioners
Practice locations: Birmingham, AL
O20230417000115 NY Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 6 practitioners
Practice locations: Plattsburgh, NY; Niskayuna, NY; New York, NY; Denver, NY; Brooklyn, NY
O20230502001599 CA Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 12 practitioners
Practice locations: Riverside, CA; Yorba Linda, CA; Woodland Hills, CA; Valley Village, CA; San Diego, CA; San Clemente, CA; Rancho Cucamonga, CA; Marina del Rey, CA…
O20230504000908 CO Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 11 practitioners
Practice locations: Castle Pines, CO; Grand Junction, CO; Englewood, CO; Denver, CO; Centennial, CO
O20230622003722 PA Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 2 practitioners
Practice locations: Gibsonia, PA; Mountain Top, PA
O20230818001959 MI Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield, MI
O20230830004279 KS Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20230905000275 SC Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, SC; Longs, SC
O20230926000991 MA Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 2 practitioners
Practice locations: Concord, MA; Winchester, MA
O20230928001609 WA Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA
O20231016000693 AZ Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 6 practitioners
Practice locations: Paradise Valley, AZ; Queen Creek, AZ; Scottsdale, AZ; Chandler, AZ
O20240717002609 NM Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20241021001986 UT Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT
O20250318003676 GA Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 1 practitioner
Practice locations: Milton, GA
O20250415000359 SD Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisburg, SD
O20251121003280 TN Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 2 practitioners
Practice locations: Franklin, TN; Maryville, TN
O20260220001299 OH Part B Supplier - Clinic/Group Practice 8921420308 Receives reassigned benefits from 1 practitioner
Practice locations: Solon, OH

National Provider Directory

Locations

8391 Beverly Blvd
Los Angeles, CA 90048
Phone (213) 247-7251

3024 E Empire St
Ste 3C
Bloomington, IL 61704
Phone (309) 268-3900

3024 E Empire St
Ste 3000
Bloomington, IL 61704
Phone (309) 556-7750

3024 E Empire St
#2A
Bloomington, IL 61704
Phone (309) 556-7800

1111 Trinity Ln
Ste 120
Bloomington, IL 61704
Phone (309) 663-6461

3024 E Empire St
Ste 1C
Bloomington, IL 61704
Phone (309) 556-7556

3024 E Empire St
Ste 2C
Bloomington, IL 61704

3024 E Empire St
Fl 1
Bloomington, IL 61704
Phone (309) 556-7556

3024 E Empire St
Ste 2A
Bloomington, IL 61704
Phone (309) 556-7800

1111 Trinity Ln
Ste 101
Bloomington, IL 61704

1401 Eastland Dr
Bloomington, IL 61701
Phone (309) 661-3360

3024 E Empire St
Ste C
Bloomington, IL 61704
Phone (217) 735-9555

102 E Cemetery Ave
Chenoa, IL 61726

207 Landmark Dr
Normal, IL 61761
Phone (309) 268-3200

1302 Franklin Ave
Ste 3600
Normal, IL 61761
Phone (309) 268-6770

1304 Franklin Ave
Ste 1003
Normal, IL 61761

403 W Virginia Ave
Normal, IL 61761
Phone (309) 268-2910

1300 Franklin Ave
Ste 280
Normal, IL 61761
Phone (309) 452-5300

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

1302 Franklin Ave
Ste 2200
Normal, IL 61761
Phone (309) 662-9631

1302 Franklin Ave
Normal, IL 61761
Phone (309) 268-5867

1302 Franklin Ave
Ste 250
Normal, IL 61761

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1302 Franklin Ave Ste 3400
Normal, IL 61761-6523

Mailing address

611 W Park St
Urbana, IL 61801-2529
Phone (217) 383-6792

Other providers in Normal, IL

All providers in Normal, IL · Family Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.