Active NPI
Brian Ogan, M.D.
- Pain Medicine (Anesthesiology) Physician
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036-101808
- Practice address
- 1002 Interstate Dr Ste 100
Champaign, IL 61822-1465 - Phone
- (217) 974-9366
- Fax
- (800) 801-3765
- NPI assigned
- Aug 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036101808 | IL | |
| Anesthesiology Physician | 207L00000X | 336-067076 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036-101808 | IL | Primary |
Addresses
Primary practice location
1002 Interstate Dr Ste 100
Champaign, IL 61822-1465
Mailing address
406 Brierhill Rd
Deerfield, IL 60015-4402
Phone (217) 974-9366
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040119000132 | IL | Practitioner - Anesthesiology | 1759282114 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Illinois Spine and Pain Center SCAccilien Enterprises Il PLLC
Practice addresses (Care Compare)
1002 Interstate Dr
Champaign, IL 61822-1465
Phone (217) 974-9366
2203 Eastland Dr
Suite 7
Bloomington, IL 61704-7924
Phone (951) 840-8851
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336-067076 | IL | MD | Anesthesiology Physician |
| 036-101808 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Spine and Regenerative Pain Center Inc | Pain Medicine | Current | Accepting new patients |
| Illinois Spine and Pain Center SC | Pain Medicine | Current | Accepting new patients |
| Elite Spine and Regenerative Pain Center, LTD | Pain Medicine | Current | Accepting new patients |
| Accilien Enterprises Il PLLC | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Chicago Pain Center, LTD. | Past | Accepting new patients |
Locations
2203 Eastland Dr
Ste 7
Bloomington, IL 61704
Phone (309) 808-1700
1002 Interstate Dr
Champaign, IL 61822
Phone (217) 693-5703
1002 Interstate Dr
Ste 100
Champaign, IL 61822
Phone (217) 974-9366
2466 Momentum Pl
Chicago, IL 60689
901 Medical Park Dr
Ste 201
Effingham, IL 62401
Phone (217) 342-7500
Interoperability endpoints
- illinoisspineandpaincenter.brianogan@157433.advancedmd-direct.com
- https://api.platform.athenahealth.com/3712/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Champaign, IL
- NPI 1801185616
IL, Pain Medicine
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- Pain Medicine (Anesthesiology) Physician
- Champaign, IL
- NPI 1023958295
Pain Medicine
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- Pain Medicine (Anesthesiology) Physician
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- NPI 1316819063
Pain Medicine
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- Specialist
- Chicago, IL
- NPI 1356556914
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1528077948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 BRIERHILL RD",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154402",
"telephone_number": "217-974-9366",
"fax_number": "800-801-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 INTERSTATE DR STE 100",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221465",
"telephone_number": "217-974-9366",
"fax_number": "800-801-3765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGAN",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036101808",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "336-067076",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036-101808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.
- 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.