NPIMap

Individual provider Active NPI

Sean E McCain, MD

  • Family Medicine Physician
  • Marion, IL
National Provider Identifier
1629050307
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036105546 Issued in IL
Practice address
3411 Professional Park Drive
Marion, IL 62959-6394
Phone
(618) 997-2161
Fax
(618) 997-2420
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036105546 IL Primary

Addresses

Primary practice location

3411 Professional Park Drive
Marion, IL 62959-6394

Mailing address

3411 Professional Park Drive
Marion, IL 62959-6394
Phone (618) 997-2161

Other identifiers 1

IdentifierTypeStateIssuer
P00401574OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000415 IL Practitioner - Family Practice 3577553130 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Health of Southern Illinois LTDGroup PAC ID 2365401122, 23 clinicians

Practice addresses (Care Compare)

310 W Plaza Dr
Cartersviille, IL 62918-1980
Phone (618) 985-4344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.72 of 100Reported as group
Quality
65.5
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District CurrentSince Jun 12, 2023 Accepting new patients
Integrated Health of Southern Illinois Family Medicine CurrentSince Jun 18, 2023 Accepting new patients
Integrated Health of Southern Illinois, LTD. CurrentSince Jun 18, 2023 Accepting new patients
Integritas Emergency Physician Services, LLC CurrentSince May 1, 2015 Accepting new patients
Wabash General Hospital District CurrentSince Jun 12, 2023 Accepting new patients
Statera Health Care, LLC CurrentSince May 20, 2019 Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

308 W Plaza Dr
Ste A
Carterville, IL 62918
Phone (618) 985-4344

900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050

303 S Commercial St
Ste 10
Harrisburg, IL 62946
Phone (618) 252-5555

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

Interoperability endpoints

  • Direct secure messaging: smcca@yourcarecommunity.org
  • Direct secure messaging: sean.mccain.1@26231.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26231/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.

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1629050307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 PROFESSIONAL PARK DRIVE",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596394",
            "telephone_number": "618-997-2161",
            "fax_number": "618-997-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 PROFESSIONAL PARK DRIVE",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596394",
            "telephone_number": "618-997-2161",
            "fax_number": "618-997-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "SEAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036105546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00401574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.