NPIMap

Individual provider Active NPI

Travis R Jameson, MD

  • Nephrology Physician
  • Decatur, IL
National Provider Identifier
1730490616
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036133033 Issued in IL
Practice address
301 W Hay St
Decatur, IL 62526-4162
Phone
(217) 876-6860
Fax
(217) 876-6868
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036133033 IL Primary

Addresses

Primary practice location

301 W Hay St
Decatur, IL 62526-4162

Mailing address

301 W Hay St
Decatur, IL 62526-4162
Phone (217) 876-6860

Other identifiers 1

IdentifierTypeStateIssuer
336094236OtherILCS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000116 IL Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Hospitalist 6608019377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Hospitalist, Internal Medicine
Education
Southern Illinois University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

301 W Hay St
Decatur, IL 62526-4162
Phone (217) 876-6860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.88 of 100Reported as group
Quality
63.91
Improvement activities
40
Cost
77.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Memorial Hospital Internal Medicine CurrentSince Mar 21, 2016 Accepting new patients
Decatur Memorial Hospital CurrentSince Mar 21, 2016 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince May 1, 2015 Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Memorial Health Partners Current Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

301 W Hay St
Decatur, IL 62526
Phone (217) 876-6640

241 W Weaver Rd
Ste 210
Forsyth, IL 62535
Phone (217) 876-5600

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

200 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 605-5611

1005 Broadway St
Quincy, IL 62301

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

Interoperability endpoints

  • Direct secure messaging: travisjameson@sfc.allscriptsdirect.net
  • Direct secure messaging: travisjameson@memorial.allscriptsdirect.net

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 7

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1730490616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HAY ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264162",
            "telephone_number": "217-876-6860",
            "fax_number": "217-876-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HAY ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264162",
            "telephone_number": "217-876-6860",
            "fax_number": "217-876-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "TRAVIS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036133033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CS LICENSE",
            "identifier": "336094236",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.