Active NPI
Sukhwinder S Multani, M.D.
- Family Medicine Physician
- Pekin, IL
National Provider Identifier
1518176601
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Oct 18, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036122597
- Practice address
- 19 Olt Ave
Pekin, IL 61554-6214 - Phone
- (309) 353-6301
- Fax
- (309) 353-1555
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301084133 | MI | |
| Family Medicine Physician | 207Q00000X | 036122597 | IL | Primary |
Addresses
Primary practice location
19 Olt Ave
Pekin, IL 61554-6214
Mailing address
19 Olt Ave
Pekin, IL 61554-6214
Phone (309) 353-6301
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361225971 | Medicaid | IL | |
| 779491 | Other | IL | MEDICARE PTAN |
| 09015685 | Other | IL | BCBS OF IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301084133 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Walk-in Urgent Care LLC | Family Medicine | Current | Accepting new patients |
Locations
3767 E US Route 36
Decatur, IL 62521
Phone (217) 330-6153
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Decatur, IL
- NPI 1316281868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1518176601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 OLT AVE",
"city": "PEKIN",
"state": "IL",
"postal_code": "615546214",
"telephone_number": "309-353-6301",
"fax_number": "309-353-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 OLT AVE",
"city": "PEKIN",
"state": "IL",
"postal_code": "615546214",
"telephone_number": "309-353-6301",
"fax_number": "309-353-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULTANI",
"first_name": "SUKHWINDER",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301084133",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036122597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361225971",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "779491",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "09015685",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.