Individual provider Active NPI

Linah Kwamboka Mairura, M.D.

  • Family Medicine Physician
  • Mahomet, IL
National Provider Identifier
1790128098
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036172703 Issued in IL
Practice address
1001 Heather Dr
Mahomet, IL 61853-2754
Phone
(217) 586-8400
Fax
(217) 586-5093
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q9426 TX
Family Medicine Physician 207Q00000X 42727 KS
Family Medicine Physician 207Q00000X 036172703 IL Primary

Addresses

Primary practice location

1001 Heather Dr
Mahomet, IL 61853-2754

Mailing address

950 E Belt Line Rd Ste 150
Cedar Hill, TX 75104-2424
Phone (972) 291-7863

Other practice location 1

8444 W 21st St N
Wichita, KS 67205-1752
Phone (316) 274-9850

Other practice location 2

1122 N Topeka St
Wichita, KS 67214-2810
Phone (316) 866-2000

Other practice location 3

950 E Belt Line Rd Ste 150
Cedar Hill, TX 75104-2424
Phone (972) 291-7863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161227001504 TX Practitioner - Family Practice 3678799962 Reassigns benefits to 1 organization
I20241216000421 IL Practitioner - Family Practice 3678799962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1001 Heather Dr
Mahomet, IL 61853-2754
Phone (217) 586-8444

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42727KSMDFamily Medicine Physician
Q9426TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Nov 7, 2022 Accepting new patients
Carle Health Care Incorporated Family Medicine CurrentSince Dec 10, 2024 Accepting new patients
Medhealth Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

1001 Heather Dr
Mahomet, IL 61853
Phone (217) 586-2317

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

950 E Belt Line Rd
Ste 150
Cedar Hill, TX 75104
Phone (972) 291-7863

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: lmairuramd434611@carlehiedirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1790128098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD STE 150",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042424",
            "telephone_number": "972-291-7863",
            "fax_number": "972-291-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HEATHER DR",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618532754",
            "telephone_number": "217-586-8400",
            "fax_number": "217-586-5093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8444 W 21st St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672051752",
            "country_code": "US",
            "telephone_number": "316-274-9850",
            "fax_number": "316-779-2221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 N Topeka St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672142810",
            "country_code": "US",
            "telephone_number": "316-866-2000",
            "fax_number": "316-866-2084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 E Belt Line Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751042424",
            "country_code": "US",
            "telephone_number": "972-291-7863",
            "fax_number": "972-291-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIRURA",
        "first_name": "LINAH",
        "middle_name": "KWAMBOKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9426",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "42727",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036172703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahomet, IL

Sources for this page

Verify at the official NPI Registry.