Individual provider Active NPI

Jeffrey P Christy, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Springfield, IL
National Provider Identifier
1710968490
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036088219 Issued in IL
Practice address
747 N Rutledge St FL 4
Springfield, IL 62702-6700
Phone
(217) 545-8000
Fax
(217) 545-7053
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036088219 IL Primary

Addresses

Primary practice location

747 N Rutledge St FL 4
Springfield, IL 62702-6700

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000

Other practice location 1

619 E Mason St
Suite 4P57
Springfield, IL 62701-1034
Phone (217) 788-0706

Other practice location 2

619 E Mason St
Springfield, IL 62701-1034
Phone (217) 545-8000

Other identifiers 2

IdentifierTypeStateIssuer
00412567OtherILRAILROAD
036088219MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jchristy99838@ewd.direct.hshs.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040424000128 IL Practitioner - Thoracic SurgeryPractitioner - General Surgery 8224024179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siu Physicians and Surgeons IncGroup PAC ID 2365352820, 316 clinicians

Practice addresses (Care Compare)

747 N Rutledge St
Springfield, IL 62702-6700
Phone (217) 545-8000

Hospital & facility affiliations

  • St Johns Hospital Hospital, Springfield, IL, CCN 140053
  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148
  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)16
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Sep 21, 2021 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Sep 21, 2021 Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Nov 1, 2023 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Nov 1, 2023 Accepting new patients

Locations

619 E Mason St
#4P57
Springfield, IL 62701

619 E Mason St
Ste 4
Springfield, IL 62701

319 E Madison St
Ste 2L
Springfield, IL 62701
Phone (217) 788-0710

747 N Rutledge St
Springfield, IL 62702
Phone (217) 545-6112

619 E Mason St
Springfield, IL 62701
Phone (217) 545-7600

619 E Mason St
Ste 4P57
Springfield, IL 62701

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

747 N Rutledge St
Fl 4
Springfield, IL 62702

Interoperability endpoints

  • Direct secure messaging: jeffreychristy@siusm.allscriptsdirect.net
  • Direct secure messaging: jchristy99838@ewd.direct.hshs.org

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1710968490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19639",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949639",
            "telephone_number": "217-545-8000",
            "fax_number": "844-470-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N RUTLEDGE ST FL 4",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026700",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-7053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 E Mason St",
            "address_2": "Suite 4P57",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627011034",
            "country_code": "US",
            "telephone_number": "217-788-0706",
            "fax_number": "217-525-2535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 E Mason St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627011034",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-2552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036088219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "00412567",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088219",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchristy99838@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "619 E Mason St",
            "address_2": "Suite 4P57",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627011034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.