Active NPI
Gregory Collins, MD
- Anesthesiology Physician
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036079652
- Practice address
- 6810 State Route 162
Ste 215
Maryville, IL 62062-8501 - Phone
- (618) 288-5711
- NPI assigned
- Nov 10, 2006
- Last updated
- Feb 19, 2008
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036079652 | IL | Primary |
Addresses
Primary practice location
6810 State Route 162
Ste 215
Maryville, IL 62062-8501
Mailing address
1836 Lackland Hill Pkwy
Credentialing Department
Saint Louis, MO 63146-3572
Phone (314) 989-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036079652002 | Medicaid | IL |
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
- Anesthesiology
- Education
- Southern Illinois University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpointe Medical Center SC | Current | Accepting new patients | |
| Infinite Healthcare Solutions Inc | Current | Accepting new patients | |
| Millennium Anesthesiology Consultants, LLC | Anesthesiology | Current | Accepting new patients |
| Vista Clinic Corporation | Past | Accepting new patients |
Locations
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
530 Fullerton Rd
#B
Swansea, IL 62226
Phone (618) 233-3321
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.
-
- Anesthesiology Physician
- Maryville, IL
- NPI 1710218094
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Swansea, IL
- NPI 1033699467
-
- Family Medicine Physician
- Glen Carbon, IL
- NPI 1366213415
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1356432215
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1770654089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 LACKLAND HILL PKWY",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463572",
"telephone_number": "314-989-0300",
"fax_number": "314-810-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6810 STATE ROUTE 162",
"address_2": "STE 215",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620628501",
"telephone_number": "618-288-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "GREGORY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036079652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036079652002",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.