NPIMap

Organization Active NPI

Gregory L. Totel, M.D.,S.C.

  • Internal Medicine Physician
  • Decatur, IL
National Provider Identifier
1740598234
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036068474 Issued in IL
Legal business name
GREGORY L. TOTEL, M.D.,S.C.
Practice address
1 Memorial Dr Ste 201
Decatur, IL 62526-6317
Phone
(217) 875-1090
Fax
(217) 875-1099
NPI assigned
Sep 17, 2010
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Gregory Lee Totel, M.D.NPI 1558470690
Title
President
Phone
(217) 875-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036068474 IL Primary

Addresses

Primary practice location

1 Memorial Dr Ste 201
Decatur, IL 62526-6317

Mailing address

1 Memorial Dr Ste 201
Decatur, IL 62526-6317
Phone (217) 875-1090

Other identifiers 2

IdentifierTypeStateIssuer
036068474MedicaidIL
05822058OtherILBLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1740598234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR STE 201",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266317",
            "telephone_number": "217-875-1090",
            "fax_number": "217-875-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR STE 201",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266317",
            "telephone_number": "217-875-1090",
            "fax_number": "217-875-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. TOTEL, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "TOTEL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-875-1090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036068474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068474",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "05822058",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.