James R Battenburg, MD
Individual provider Active NPI Family Medicine Physician · Monmouth, IL
NPI 1851387443 · NPPES record last updated May 28, 2014
Key facts
- NPI
- 1851387443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036076286 (IL)
- Practice address
- 1000 W Harlem Ave
Monmouth, IL 61462-1007 - Phone
- (309) 734-1414
- Fax
- (309) 734-0323
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Healthcare System
Practice addresses (Care Compare)
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141
Hospital & facility affiliations
- Hospice Compassus - Northwest Illinois
- Osf Holy Family Medical Center
- Goldwater Care Roseville
- Monmouth Rehab and Nursing
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Goldwater Care Roseville |
Skilled nursing facility | Operational/Managerial Control Managing Control - Governing Body Adp of the SNF |
Dec 1, 2024 Dec 1, 2024 Dec 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070613000770 | IL | Practitioner - Family Practice | 8123034584 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036076286 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| St Mary Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
1000 W Harlem Ave
Ofc
Monmouth, IL 61462
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036076286 | IL | Yes |
Addresses
Primary practice location
1000 W Harlem Ave
Monmouth, IL 61462-1007
Mailing address
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-1414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371352599001 | Medicaid | IL |
Other providers in Monmouth, IL
- Angela Marie Arnold
- Axlines Inc
- Lynn Ann Baber
- Morgan June Bair
- Kheder Basheer
- Emma Rae Bell
- Bryan Keith Bittner
- Susan Klint Blackman
- Carolynn R Boatfield
- Chad Bohlman
All providers in Monmouth, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.