Active NPI
Scott William McLain, MD
- Internal Medicine Physician
- Bloomington, IL
National Provider Identifier
1669463436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036104057
- Practice address
- 1701 E College Ave
Bloomington, IL 61704 - Phone
- (309) 662-5361
- Fax
- (309) 663-5742
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2007006527 | MO | |
| Internal Medicine Physician | 207R00000X | 036104057 | IL | Primary |
Addresses
Primary practice location
1701 E College Ave
Bloomington, IL 61704
Mailing address
5850 6TH Street Frontage Rd E
Springfield, IL 62703-5162
Phone (217) 529-5046
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180828001814 | IL | Order and Referring Only - Internal Medicine | 3779523907 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036104057 | IL | MD | Internal Medicine Physician |
| 2007006527 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Internal Medicine | Past | Accepting new patients |
| Mercy Clinic East Communities | Internal Medicine | Past | Accepting new patients |
| Vpa PC | Internal Medicine | Past | Accepting new patients |
| Capitol Healthcare Medical Associates, LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1982844320
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
Internal Medicine
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Saint Louis, MO
- NPI 1760706337
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1669463436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 6TH STREET FRONTAGE RD E",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627035162",
"telephone_number": "217-529-5046",
"fax_number": "217-529-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E COLLEGE AVE",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "61704",
"telephone_number": "309-662-5361",
"fax_number": "309-663-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAIN",
"first_name": "SCOTT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2007006527",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036104057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
- Jillian M. McHood, FNP
- Natalie M McKee, AU.D.
- Diane L McKillop
- Jessica A McKinley-Simpson
- Jerey Laverne McKinney
- McLean County Anesthesiology, LTD.
- McLean County Center for H S
- McLean County Center for Human Services, Inc
- McLean County Center for Human Services, Inc
- McLean County Center for Human Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.