Vituity - Illinois Infectious Disease Specialists, P.C.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

VITUITY - ILLINOIS INFECTIOUS DISEASE SPECIALISTS, P.C.

Practice address

200 Health Care Dr
Greenville, IL 62246-1154

Phone

(618) 664-1230

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

David Birdsall, M.D

Title

Administrative VP of Operations

Phone

(510) 851-7552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sumbul Meraj, M.D.

  • Infectious Disease Physician
  • Saint Louis, MO
  • NPI 1285931261

  IL

  Medicare reassignment NPD
• Kalyani Swayamvara Vangala, M.D.

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1588696918

  IL, Infectious Disease

  Medicare reassignment NPD
• Eric Michael Mallett, MD

  • Family Medicine Physician
  • South Elgin, IL
  • NPI 1528265816
  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1821741737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461154",
            "telephone_number": "618-664-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012006",
            "country_code": "US",
            "telephone_number": "217-342-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITUITY - ILLINOIS INFECTIOUS DISEASE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATIVE VP OF OPERATIONS",
        "authorized_official_telephone_number": "510-851-7552",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy L Turner, MA, ATC
• Adah Elizabeth Van Eeckhout, OTR/L
• Susan Elizabeth Vandenbergh, P.T.
• Jordan Vandyke
• Damon T Vincent, MD
• Billy Lee Viviano, DC
• Mikaella Mari Walker, M.A., LCPC
• Watsons Drug Store Inc
• Angelica Wehrle
• Aften Wessel, FNP

• Infectious Disease Physician in Greenville, IL
• Providers in Greenville, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.