NPIMap

Individual provider Active NPI

Omar Arturo Vargas, MD

  • Internal Medicine Physician
  • Springfield, IL
National Provider Identifier
1639390388
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036117775 Issued in IL
Practice address
751 N Rutledge St
Suite 1100
Springfield, IL 62702-4968
Phone
(217) 545-0182
Fax
(217) 545-4735
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036117775 IL Primary

Addresses

Primary practice location

751 N Rutledge St
Suite 1100
Springfield, IL 62702-4968

Mailing address

PO Box 19636
Springfield, IL 62794-9636
Phone (217) 545-0182

Other identifiers 1

IdentifierTypeStateIssuer
036117775MedicaidIL

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
I20071102000639 IL Practitioner - Internal Medicine 4688761992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians

Practice addresses (Care Compare)

15 Founders St
Suite 100
Jacksonville, IL 62650-3918
Phone (217) 243-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036117775ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Physician Services Internal Medicine CurrentSince Oct 31, 2016 Accepting new patients
Memorial Physician Services Current Accepting new patients
Memorial Physician Services CurrentSince Oct 31, 2016 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jul 2, 2007 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 2, 2007 Accepting new patients
Siu Physicians & Surgeons, Inc Internal Medicine CurrentSince Nov 1, 2010 Accepting new patients
Memorial Health Partners Current Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Family Medical Center of Chatham, LLC Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Nov 1, 2010 Accepting new patients
Memorial Expresscare, LLC Internal Medicine Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

29373 Network Pl
Chicago, IL 60673

15 Founders Ln
Ste 100
Jacksonville, IL 62650
Phone (217) 243-0300

10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500

3132 Old Jacksonville Rd
Ste 200
Springfield, IL 62704
Phone (217) 862-0800

751 N Rutledge St
Ste 1100
Springfield, IL 62702
Phone (217) 545-0182

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

Interoperability endpoints

  • Direct secure messaging: omarvargas@memorial.allscriptsdirect.net
  • Direct secure messaging: omarvargas@sfc.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1639390388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19636",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949636",
            "telephone_number": "217-545-0182",
            "fax_number": "217-545-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N RUTLEDGE ST",
            "address_2": "SUITE 1100",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024968",
            "telephone_number": "217-545-0182",
            "fax_number": "217-545-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "OMAR",
        "middle_name": "ARTURO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036117775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117775",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.