Active NPI
Aaron Brewer, M.D.
- Surgery Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036123012
- Practice address
- 900 N 1St St
Springfield, IL 62702-3749 - Phone
- (217) 528-7541
- Fax
- (217) 528-7543
- NPI assigned
- May 1, 2007
- Last updated
- May 20, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036123012 | IL | Primary |
Addresses
Primary practice location
900 N 1St St
Springfield, IL 62702-3749
Mailing address
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036123012 | Medicaid | IL | |
| P00752575 | Other | IL | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aaronbrewer@sfc.allscriptsdirect.net |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Southern Illinois University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
201 E Pleasant St
Taylorville, IL 62568-1562
Phone (217) 824-3566
217 S Locust St
Pana, IL 62557-1605
Phone (217) 562-2143
747 N Rutlage Baylis Medical BLD
Suite 50
Springfield, IL 62702-6700
Phone (217) 545-7722
747 N Rutledge St
Springfield, IL 62702-6700
Phone (217) 757-2257
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464
800 N 1St St
Springfield, IL 62702-3719
Phone (217) 528-7541
900 N 1St St
Springfield, IL 62702-3749
Phone (217) 528-7541
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 16 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036123012 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pana Community Hospital Association | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Pana Community Hospital Association | Past | Accepting new patients | |
| Springfield Clinic, LLP | Past | Accepting new patients |
Locations
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544
Interoperability endpoints
- aaron.brewer.1@28977.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health | Rural health clinic | Limited Partnership Interest | Jul 1, 2012 |
| Springfield Clinic Nokomis Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 2012 |
| Springfield Clinic Raymond Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 2012 |
| Springfield Clinic Neoga Rural Health | Rural health clinic | Limited Partnership Interest | Jan 1, 2012 |
| Springfield Clinic, LLP | Rural health clinic | Limited Partnership Interest | Jan 1, 2012 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Raymond, IL
- NPI 1013255942
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Macomb, IL
- NPI 1730831157
Limited Partnership Interest
-
dba Springfield Clinic Rural Health Neoga
- Rural Health Clinic/Center
- Neoga, IL
- NPI 1972790889
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Lincoln, IL
- NPI 1518143452
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Nokomis, IL
- NPI 1922285600
Limited Partnership Interest
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
dba Ramsey Medical Group
- Rural Health Clinic/Center
- Ramsey, IL
- NPI 1598597726
-
dba Community Medical Clinic of Nokomis
- Family Medicine Physician
- Nokomis, IL
- NPI 1992994461
-
dba Community Medical Clinic of Pana
- Rural Health Clinic/Center
- Pana, IL
- NPI 1235225236
-
- Rural Health Clinic/Center
- Taylorville, IL
- NPI 1780893578
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- Critical Access Hospital
- Taylorville, IL
- NPI 1144292020
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": "1589932800000",
"number": "1679794523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032403",
"telephone_number": "217-528-7541",
"fax_number": "217-528-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023749",
"telephone_number": "217-528-7541",
"fax_number": "217-528-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "AARON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036123012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036123012",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00752575",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aaronbrewer@sfc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "900 N 1st St",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627023749",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.