Active NPI
Martha Menchaca, M.D.
- Diagnostic Radiology Physician
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036.111975
- Practice address
- 611 W Park
Fapc
Champaign, IL 61802 - Phone
- (217) 902-6954
- Fax
- (217) 902-7711
- NPI assigned
- Nov 8, 2005
- Last updated
- May 20, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 224444 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 036.111975 | IL | Primary |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 036.111975 | IL |
Addresses
Primary practice location
611 W Park
Fapc
Champaign, IL 61802
Mailing address
611 W Park
Fapc
Champaign, IL 61802
Phone (217) 902-6954
Other practice location 1
4130 W 26th St
Chicago, IL 60623-4312
Phone (312) 580-5755
Other practice location 2
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-5420
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Medical Ctr Dr
Monticello, IL 61856-2116
Phone (217) 762-1540
1001 Heather Dr
Mahomet, IL 61853-2754
Phone (217) 586-8444
101 S Major St
Eureka, IL 61530-1246
Phone (309) 304-2128
1540 E Grove Ave
Rantoul, IL 61866-2736
Phone (217) 893-7700
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096
1701 W Curtis Rd
Champaign, IL 61822-9678
Phone (217) 365-6200
177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-6020
1818 E Windsor Rd
Urbana, IL 61802-9566
Phone (217) 255-9500
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
2300 S 1St St
Champaign, IL 61820-7661
Phone (217) 383-9400
2650 Ridge Ave
Evanston, IL 60201-1700
3024 E Empire St
Bloomington, IL 61704-5402
516 W Madison St
Danville, IL 61832-5657
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
611 W Park St
Urbana, IL 61801-2529
Phone (217) 383-3270
701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531
Hospital & facility affiliations
- Carle Foundation Hospital
- Carle Richland Memorial Hospital
- Elmhurst Memorial Hospital
- Carle Hoopeston Regional Health Center
- Carle Bromenn Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.111975 | IL | MD | Diagnostic Radiology Physician |
| 224444 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Diagnostic Neuroimaging | Current | Accepting new patients |
| Carle Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
9532 Eagle Way
Chicago, IL 60678
155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- mmenchaca17292@uihealth.direct-ci.com
- mmenchacamd427363@carlehiedirect.net
Organizations & group practices 17
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
-
dba Hoopeston Physician Group
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
- Family Medicine Physician
- Monticello, IL
- NPI 1386635373
-
dba Carle Richland Memorial Hospital
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Critical Access Hospital
- Monticello, IL
- NPI 1730179847
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
dba Charlotte Ann Russell Medical Center
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
dba Endeavor Health Elmhurst Hospital
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
dba Hoopeston Community Ambulance
- Ambulance
- Hoopeston, IL
- NPI 1164594594
Hospital
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
dba Carle Richland Memorial Hospital
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1629059662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK",
"address_2": "FAPC",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "61802",
"telephone_number": "217-902-6954",
"fax_number": "217-902-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W PARK",
"address_2": "FAPC",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "61802",
"telephone_number": "217-902-6954",
"fax_number": "217-902-7711"
}
],
"practiceLocations": [
{
"address_1": "4130 W 26th St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606234312",
"country_code": "US",
"telephone_number": "312-580-5755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 E Brush Hill Rd",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "IL",
"postal_code": "601265658",
"country_code": "US",
"telephone_number": "331-221-5420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENCHACA",
"first_name": "MARTHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "224444",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.111975",
"primary": true
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "IL",
"license": "036.111975",
"primary": false
}
],
"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 May 20, 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.