NPIMap

Organization Active NPI

Tauc Il, PC

  • Urgent Care Clinic/Center
  • Collinsville, IL
National Provider Identifier
1487401709
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TAUC IL, PC
Practice address
400 Beltline Rd
Collinsville, IL 62234-4405
Phone
(618) 215-5703
Fax
(618) 215-5704
NPI assigned
May 3, 2024
Organization subpart
Yes
Parent organization
TAUC IL, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Tyler Terwilliger
Title
Senior Credentialing Specialist
Phone
(636) 220-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

400 Beltline Rd
Collinsville, IL 62234-4405

Mailing address

13861 Manchester Rd
Ballwin, MO 63011-4503
Phone (636) 556-0114

Other names 1

  • Total Access Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240807002706 IL Part B Supplier - Clinic/Group Practice 3173060282 Receives reassigned benefits from 41 practitioners
Practice locations: Collinsville, IL; O Fallon, IL
O20250515000654 IL DME Supplier - Physician - General Practice 3173060282 Practice locations: Collinsville, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2319159Total Access Urgent Care400 Beltline Rd, Collinsville, IL 62234Certificate of waiverFeb 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Total Access Urgent Care PC35 organizations share this tax ID, including this one
Part of
Tauc Il PC

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

404 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

Practitioners & affiliated clinicians

Practitioners 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1487401709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13861 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114503",
            "telephone_number": "636-556-0114",
            "fax_number": "314-270-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BELTLINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344405",
            "telephone_number": "618-215-5703",
            "fax_number": "618-215-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAUC IL, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAUC IL, PC",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "TERWILLIGER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "636-220-1122"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Access Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.