Individual provider Active NPI

Joao Manoel Da Silveira Lara, MD

  • Internal Medicine Physician
  • Decatur, IL
National Provider Identifier
1598489692
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036173646 Issued in IL
Practice address
2300 N Edward St Ste 3200
Decatur, IL 62526-4192
Phone
(217) 876-3660
Fax
(217) 876-3665
NPI assigned
Oct 3, 2022
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT227003 PA
Internal Medicine Physician 207R00000X 036173646 IL Primary

Addresses

Primary practice location

2300 N Edward St Ste 3200
Decatur, IL 62526-4192

Mailing address

2300 N Edward St Ste 3200
Decatur, IL 62526-4192
Phone (217) 876-3660

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730001145 IL Practitioner - Internal MedicinePractitioner - Hospitalist 9830606235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036173646ILMDInternal Medicine Physician
MT227003PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Memorial Hospital Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Taylorville Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Decatur Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Taylorville Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

2300 N Edward St
Ste 3200
Decatur, IL 62526
Phone (217) 876-3660

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555

Organizations & group practices 5

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.

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1598489692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST STE 3200",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264192",
            "telephone_number": "217-876-3660",
            "fax_number": "217-876-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST STE 3200",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264192",
            "telephone_number": "217-876-3660",
            "fax_number": "217-876-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA SILVEIRA LARA",
        "first_name": "JOAO MANOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT227003",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036173646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.