Anthony Oria Amiewalan I, MD FACOG

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036112019 Issued in IL

Practice address

1750 East Lake Shore Dr
Suite 320
Decatur, IL 62521

Phone

(217) 422-0560

Fax

(217) 422-0872

NPI assigned

Jul 28, 2006

Last updated

Mar 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dr. Anthony Oria Amie I Professional name

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

Specialty

Obstetrics/Gynecology

Education

East Tennessee State University Quillen College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Hospital Hospital, Decatur, IL, CCN 140166

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: anthony.amiewalan.1@8839.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8839/brand/1/csg/1/fhir/r4

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.

• Anthony O Amiewalan MD, SC

  • Legal Medicine
  • Decatur, IL
  • NPI 1053543215
  Medicare reassignment Authorized official
• Anthony O Amiewalan MD, SC

  dba Anthony Amiewalan MD SC

  • Obstetrics Physician
  • Decatur, IL
  • NPI 1457367070
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Marys Hospital Decatur of the Hospital Sisters of the Third Order

  dba St Marys Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1326041229
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1669486668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 N MAIN ST STE A2969N",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264392",
            "telephone_number": "217-422-0560",
            "fax_number": "217-422-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EAST LAKE SHORE DR",
            "address_2": "SUITE 320",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62521",
            "telephone_number": "217-422-0560",
            "fax_number": "217-422-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIEWALAN",
        "first_name": "ANTHONY",
        "middle_name": "ORIA",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD FACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036112019",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "036112019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112019",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270591128",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669486668",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "AMIE",
            "middle_name": "ORIA",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alpha Omega Consulting, Inc. (James R. Thompson House)
• Kathryn Altherr, FNP-BC
• Efrain Alvarado Vargas
• Phillip D Alward, M.D.
• Amanda Lewis Enterprises LTD
• Melinda Sue Amos, RPH
• Anas Anas Sohail, M.D.
• Anderson and Odunsi, MD LLC
• Amber Michele Anderson, M.D.
• Cinthia Anderson

• Obstetrics & Gynecology Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.