NPIMap

Individual provider Active NPI

Paul E. Hakes, M.D.

  • Family Medicine Physician
  • El Paso, IL
National Provider Identifier
1750315602
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036065214 Issued in IL
Practice address
385 S Orange St
El Paso, IL 61738-1613
Phone
(309) 527-4900
Fax
(309) 527-3525
NPI assigned
Jul 10, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036065214 IL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 036065214 IL

Addresses

Primary practice location

385 S Orange St
El Paso, IL 61738-1613

Mailing address

PO Box 2451
Bloomington, IL 61702-2451
Phone (309) 268-2172

Other identifiers 3

IdentifierTypeStateIssuer
5720935OtherBLUE CROSS BLUE SHIELD
036065214MedicaidIL
10220308OtherBLUE CROSS BLUE SHIELD

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
I20101013000121 IL Practitioner - Family PracticePractitioner - Geriatric Medicine 7911801022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint James HospitalGroup PAC ID 0648187252, 74 clinicians

Practice addresses (Care Compare)

100 Delaney Dr
El Paso, IL 61738-1873
Phone (309) 527-2260

2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (815) 842-2828

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Past Accepting new patients
Saint James Hospital Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1750315602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2451",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617022451",
            "telephone_number": "309-268-2172",
            "fax_number": "309-268-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S ORANGE ST",
            "city": "EL PASO",
            "state": "IL",
            "postal_code": "617381613",
            "telephone_number": "309-527-4900",
            "fax_number": "309-527-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKES",
        "first_name": "PAUL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036065214",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036065214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5720935",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065214",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10220308",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, IL

Sources for this page

Verify at the official NPI Registry.