Dennis J. Rademacher, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-051174 Issued in IL

Practice address

260 N Oakcrest Ave
Decatur, IL 62522-1811

Phone

(217) 428-4025

NPI assigned

Sep 23, 2006

Last updated

Jan 16, 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1679673354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 N OAKCREST AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625221811",
            "telephone_number": "217-428-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N OAKCREST AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625221811",
            "telephone_number": "217-428-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEMACHER",
        "first_name": "DENNIS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-051174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051174",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Quick, RBT
• Amanda Quintino Martins Lara, MD
• Muhammad Mustansar Qureshi, MD
• R N Enterprises, Inc (EliteCare Center)
• Jade Rack, LPC
• Diane Rene' Rager, B.S.
• Allison M Raiha, RD
• Jennifer Raleigh
• Chitra Ramdass, M.D.
• Nicholas D Ramey, APRN

• Family Medicine Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.