Douglas B Aach, MD
Individual provider Active NPI Surgery Physician · Shiloh, IL
NPI 1508817040 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1508817040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 036082445 (IL)
- Practice address
- 1414 Cross Street
Suite 330
Shiloh, IL 62269-2998 - Phone
- (618) 277-7400
- Fax
- (618) 277-7422
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Missouri, Kansas City, School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lincoln Surgical Associates, LTD.
Practice addresses (Care Compare)
1414 Cross St
Shiloh, IL 62269-2941
Phone (618) 277-7400
Hospital & facility affiliations
- HSHS St Elizabeth'S Hospital
- Memorial Hospital
- Sparta Community Hospital
- St Josephs Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 11 |
| Mastectomy | 20 |
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050221000132 | IL | Practitioner - General Surgery | 2264484005 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Surgical Associates, LTD. | Surgery | Current |
Accepting new patients |
| Lincoln Surgical Group | Surgery | Past | Accepting new patients |
Locations
1414 Cross St
Ste 330
Shiloh, IL 62269
Phone (618) 228-8610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036082445 | IL | Yes |
Addresses
Primary practice location
1414 Cross Street
Suite 330
Shiloh, IL 62269-2998
Mailing address
1414 Cross Street
Suite 330
Shiloh, IL 62269-2998
Phone (618) 277-7400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036082445 | Medicaid | IL |
Other providers in Shiloh, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.