Active NPI
Renee Ann Alonso, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Pittsfield, IL
National Provider Identifier
1639399348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Practice address
- 640 W Washington St
Pittsfield, IL 62363-1350 - Phone
- (217) 285-2113
- NPI assigned
- Apr 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | IL | Primary |
Addresses
Primary practice location
640 W Washington St
Pittsfield, IL 62363-1350
Mailing address
640 W Washington St
Pittsfield, IL 62363-1350
Phone (217) 285-2113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036083525 | IL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Department of Human Services | Current | Accepting new patients | |
| Illinois Department of Human Services | Current | Accepting new patients | |
| Illinois Department of Human Services | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| HSHS Holy Family Hospital Inc | Past | Accepting new patients |
Locations
1000 N Main St
Anna, IL 62906
Phone (618) 833-5161
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
100 S Grand Ave E
Springfield, IL 62762
901 E Southwind Rd
Springfield, IL 62703
Phone (217) 786-6951
Organizations & group practices 5
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.
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-
- Psychiatric Hospital
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-
- Psychiatric Hospital
- Hines, IL
- NPI 1902903487
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1639399348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 W WASHINGTON ST",
"city": "PITTSFIELD",
"state": "IL",
"postal_code": "623631350",
"telephone_number": "217-285-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 W WASHINGTON ST",
"city": "PITTSFIELD",
"state": "IL",
"postal_code": "623631350",
"telephone_number": "217-285-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO",
"first_name": "RENEE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.