Active NPI
Dois Charles Ogan, DO
- Family Medicine Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.156087
- Practice address
- 300 W Oak St Ste 200
Carbondale, IL 62901-1400 - Phone
- (618) 536-6621
- Fax
- (618) 453-1102
- NPI assigned
- Jun 29, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.073378 | IL | |
| Family Medicine Physician | 207Q00000X | 036.156087 | IL | Primary |
Addresses
Primary practice location
300 W Oak St Ste 200
Carbondale, IL 62901-1400
Mailing address
201 E Madison St Ste 300
Springfield, IL 62702-5131
Phone (217) 545-8000
Other practice location 1
2553 Ken Gray Blvd
West Frankfort, IL 62896-4174
Phone (618) 932-3937
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dogan25411@sih.direct-ci.com |
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
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings IncSouthern Illinois Medical Services NFPLogan Primary Care Service Corp.
Practice addresses (Care Compare)
1104 W Main St
Benton, IL 62812-1565
Phone (618) 439-3399
2553 Ken Gray Blvd
West Frankfort, IL 62896-4174
Phone 6189322155288
300 W Oak St
Carbondale, IL 62901-1400
Phone (618) 536-6621
326 E Main St
West Frankfort, IL 62896-2402
Phone (618) 937-6200
405 Rushing Dr
Herrin, IL 62948-3730
Phone (618) 993-3300
Hospital & facility affiliations
- Residential Home Health of Southern Illinois, LLC
- LHC-Illinois Home Health Care
- Herrin Hospital
- Memorial Hospital of Carbondale
- Franklin Hospital
- Heartland Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.156087 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Family Medicine | Current | Accepting new patients |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Southern Illinois Hospital Services | Family Medicine | Current | Accepting new patients |
| Southern Illinois Hospital Services | Current | Accepting new patients | |
| Southern Illinois Hospital Services | Current | Accepting new patients |
Locations
305 W Jackson St
Ste 200
Carbondale, IL 62901
Phone (618) 453-3777
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
2553 Ken Gray Blvd
West Frankfort, IL 62896
Phone (618) 932-2155
Interoperability endpoints
- doisogan@siusm.allscriptsdirect.net
- dogan25411@sih.direct-ci.com
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Springfield, IL
- NPI 1396097960
Family Medicine
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1568210425
-
- Primary Care Clinic/Center
- Springfield, IL
- NPI 1922350099
-
- Family Medicine Physician
- West Frankfort, IL
- NPI 1154408581
-
- Medicare Defined Swing Bed Hospital Unit
- Murphysboro, IL
- NPI 1639595036
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- Critical Access Hospital
- Benton, IL
- NPI 1699778951
-
- Home Health Agency
- Marion, IL
- NPI 1740527407
-
- Home Health Agency
- Marion, IL
- NPI 1235556838
-
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1821583964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E MADISON ST STE 300",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025131",
"telephone_number": "217-545-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W OAK ST STE 200",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011400",
"telephone_number": "618-536-6621",
"fax_number": "618-453-1102"
}
],
"practiceLocations": [
{
"address_1": "2553 Ken Gray Blvd",
"address_purpose": "LOCATION",
"city": "West Frankfort",
"state": "IL",
"postal_code": "628964174",
"country_code": "US",
"telephone_number": "618-932-3937",
"fax_number": "618-932-2734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGAN",
"first_name": "DOIS",
"middle_name": "CHARLES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-29",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.073378",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.156087",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dogan25411@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2553 Ken Gray Blvd",
"city": "West Frankfort",
"state": "IL",
"country_code": "US",
"postal_code": "628964174",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.