Individual provider Active NPI

Martha Menchaca, M.D.

  • Diagnostic Radiology Physician
  • Champaign, IL
National Provider Identifier
1629059662
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036.111975 Issued in IL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000292 IL Practitioner - Diagnostic Radiology 6103862537 Reassigns benefits to 8 organizations

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
Kirby Medical CenterGroup PAC ID 6901791144, 80 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Richland Memorial Hospital IncGroup PAC ID 3870565732, 107 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.111975ILMDDiagnostic Radiology Physician
224444MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital CurrentSince Oct 7, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Nov 16, 2012 Accepting new patients
The Board of Trustees of the University of Illinois Diagnostic Neuroimaging CurrentSince Nov 16, 2012 Accepting new patients
Carle Health Medical Group CurrentSince Oct 7, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince May 14, 2025 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Oct 7, 2024 Accepting new patients
Kirby Medical Center CurrentSince Nov 21, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Carle West Physician Group Inc CurrentSince Oct 7, 2024 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Endeavor Health Medical Group CurrentSince May 14, 2025 Accepting new patients
Kirby Medical Center CurrentSince Nov 21, 2024 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Kirby Medical Center CurrentSince Jan 3, 2026 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Oct 7, 2024 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

  • Direct secure messaging: mmenchaca17292@uihealth.direct-ci.com
  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.