Individual provider Active NPI

Judy Kakra Abu Brown, MD

  • Family Medicine Physician
  • Edwardsville, IL
National Provider Identifier
1609366202
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036177727 Issued in IL
Practice address
1188 S State Route 157
Edwardsville, IL 62025-3614
Phone
(618) 692-5900
Fax
(618) 692-5901
NPI assigned
May 18, 2018
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT214943 PA
Family Medicine Physician 207Q00000X MD475168 PA
Family Medicine Physician 207Q00000X 036177727 IL Primary

Addresses

Primary practice location

1188 S State Route 157
Edwardsville, IL 62025-3614

Mailing address

1188 S State Route 157
Edwardsville, IL 62025-3614
Phone (618) 692-5900

Other practice location 1

2830 Easton Avenue
484-526-3555 Fax: 833-822-5230
Bethlehem, PA 18017
Phone (484) 526-3555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jabubrown504485@ewd.direct.hshs.org HSHS Medical Group Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210922000515 PA Practitioner - Family Practice 5890043921 Reassigns benefits to 2 organizations
I20260210001698 IL Practitioner - Family Practice 5890043921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians
Star Community Health IncGroup PAC ID 7618215237, 56 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1188 S State Route 157
Edwardsville, IL 62025-3614
Phone (618) 641-5803

511 E 3Rd St
Unit 301
Bethlehem, PA 18015-2096
Phone (484) 619-0975

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 954-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036177727ILMDFamily Medicine Physician
MD475168PAMDFamily Medicine Physician
MT214943PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Jan 1, 2023 Accepting new patients
HSHS Prairie, Inc CurrentSince Feb 1, 2026 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Aug 2, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Aug 2, 2021 Accepting new patients
Star Community Health, Inc CurrentSince Jan 1, 2023 Accepting new patients
HSHS Prairie, Inc CurrentSince Feb 1, 2026 Accepting new patients
St Lukes Hospital Past Accepting new patients
Ideal Eye Surgery LLC Past Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

1188 S State Route 157
Edwardsville, IL 62025
Phone (618) 344-3046

1188 S State Route 157
Ste 100
Edwardsville, IL 62025
Phone (618) 692-5900

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

3051 Hollis Dr
Springfield, IL 62704
Phone (217) 523-5406

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: jabubrown504485@ewd.direct.hshs.org
  • Direct secure messaging: judy.abu-brown@slpg.direct-sluhn.org

Organizations & group practices 10

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 6

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1609366202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 S STATE ROUTE 157",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253614",
            "telephone_number": "618-692-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 S STATE ROUTE 157",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253614",
            "telephone_number": "618-692-5900",
            "fax_number": "618-692-5901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Easton Avenue",
            "address_2": "484-526-3555 Fax: 833-822-5230",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "18017",
            "country_code": "US",
            "telephone_number": "484-526-3555",
            "fax_number": "833-822-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABU BROWN",
        "first_name": "JUDY",
        "middle_name": "KAKRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT214943",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD475168",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036177727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jabubrown504485@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "HSHS Medical Group Inc",
            "address_1": "3051 Hollis Dr",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627047450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

Verify at the official NPI Registry.