Joseph Michael Corvallis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

101 Saint Louis Rd
Collinsville, IL 62234-2450

Phone

(618) 346-1144

Fax

(618) 346-8095

NPI assigned

May 19, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477506426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SAINT LOUIS RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342450",
            "telephone_number": "618-346-1144",
            "fax_number": "618-346-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAINT LOUIS RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342450",
            "telephone_number": "618-346-1144",
            "fax_number": "618-346-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVALLIS",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collinsville Physical Therapy & Wellness, LLC
• Collinsville Unit School District #10
• Complete Spine and Performance LLC
• Courtney Gene Cooper, PT, DPT
• Minnie Ellen Cornett, REGISTERED NURSE
• Tonia Lynette Cotton
• Courtney Pharmacies, PC
• Audrey Crader
• Leah E Crask-Ellis, LPC, LCPC
• Megan Crawford

• Family Medicine Physician in Collinsville, IL
• Providers in Collinsville, 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.