Individual provider Active NPI

Paul Alan Conrad, MD FACS

  • Otolaryngology Physician
  • Quincy, IL
National Provider Identifier
1528028214
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036092494 Issued in IL
Practice address
1025 Maine St
Quincy, IL 62301-4096
Phone
(217) 222-6550
NPI assigned
Mar 25, 2006
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036092494 IL Primary

Addresses

Primary practice location

1025 Maine St
Quincy, IL 62301-4096

Mailing address

1025 Maine St
Quincy, IL 62301-4096
Phone (217) 222-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120308000889 KY Practitioner - Otolaryngology 0648268052 Reassigns benefits to 1 organization
I20210525002812 IL Practitioner - Otolaryngology 0648268052 Reassigns benefits to 2 organizations
I20221018001881 MO Practitioner - Otolaryngology 0648268052 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pike County Memorial HospitalGroup PAC ID 8123015518, shared by 6 NPIs, 31 clinicians

Practice addresses (Care Compare)

1 Crown Dr
Suite 201
Kirksville, MO 63501-2510
Phone (217) 222-6550

1015 W Adams St
Bowling Green, MO 63334-1974
Phone (573) 324-5300

1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550

2305 Georgia St
Louisiana, MO 63353-2559

2305 W Georgia
Louisiana, MO 63353-2559

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler County Hospital District CurrentSince Dec 1, 2022 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Jul 7, 2021 Accepting new patients
Pike County Memorial Hospital CurrentSince Oct 20, 2022 Accepting new patients
Pike County Memorial Hospital CurrentSince Oct 20, 2022 Accepting new patients
Schuyler County Hospital District CurrentSince Dec 1, 2022 Accepting new patients
Pike County Memorial Hospital Current Accepting new patients
Pike County Memorial Hospital CurrentSince Oct 20, 2022 Accepting new patients
Pike County Memorial Hospital Current Accepting new patients
Pike County Memorial Hospital CurrentSince Oct 20, 2022 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Jun 20, 2023 Accepting new patients
Meadowview Physician Practice LLC CurrentSince May 20, 2014 Accepting new patients
Meadowview Physician Practice, LLC Otolaryngology Current Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Jul 7, 2021 Accepting new patients
Meadowview Physician Practice LLC CurrentSince May 20, 2014 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Past Accepting new patients
Buffalo Trace Ear, Nose & Throat Center Past Accepting new patients

Locations

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

932 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 759-4852

491 Tucker Dr
Maysville, KY 41056
Phone (606) 759-4005

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

991 Medical Park Dr
Ste 200
Maysville, KY 41056
Phone (606) 759-5286

991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585

991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424

991 Medical Park Dr
Ste 301
Maysville, KY 41056
Phone (606) 759-2180

1015 W Adams St
Bowling Green, MO 63334
Phone (573) 324-5300

1420 S Business 61
Unit Fde
Bowling Green, MO 63334
Phone (573) 324-5562

175 Shinn Ln
Hannibal, MO 63401
Phone (573) 248-0008

1 Crown Dr
Ste 201
Kirksville, MO 63501
Phone (660) 665-3237

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1528028214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014096",
            "telephone_number": "217-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014096",
            "telephone_number": "217-222-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "PAUL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036092494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.