Individual provider Active NPI

Bruce JC Houle, DO

  • Diagnostic Radiology Physician
  • Makion, IL
National Provider Identifier
1871520734
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Practice address
3333 West Deyoung
Heartland Regional Medical Center Dept of Radiology
Makion, IL 62959
Phone
(618) 998-7655
NPI assigned
Jun 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X IL Primary

Addresses

Primary practice location

3333 West Deyoung
Heartland Regional Medical Center Dept of Radiology
Makion, IL 62959

Mailing address

PO Box 503809
Imales USA Inc
St Louis, MO 63150-3809
Phone (800) 775-9195

Other identifiers 2

IdentifierTypeStateIssuer
073759OtherHA
0360947753MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20070119000409 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3971531179 Reassigns benefits to 2 organizations
I20251101000346 IN Practitioner - Diagnostic Radiology 3971531179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital and Medical Foundation of Paris IncGroup PAC ID 7315933827, shared by 18 NPIs, 123 clinicians

Practice addresses (Care Compare)

3736 S 4TH St
Horizon Health
Terre Haute, IN 47802-5507
Phone (812) 232-1411

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Oct 1, 2006 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Oct 1, 2006 Accepting new patients
Associated Pathologists, LLC Past Accepting new patients
Southern Illinois Gi Specialists LLC Past Accepting new patients
Images USA Inc Diagnostic Radiology Past Accepting new patients
Lakeland Radiologists LTD Diagnostic Radiology Past Accepting new patients

Locations

1000 N 2nd St
Marshall, IL 62441
Phone (217) 826-3299

1 Phipps Ln
Paris, IL 61944
Phone (217) 463-4340

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

3736 S 4th St
Terre Haute, IN 47802
Phone (765) 832-1511

Interoperability endpoints

  • Direct secure messaging: bruce.houle.1@11356.direct.athenahealth.com
  • FHIR API: https://fa120b5c-6699-49eb-9b43-fa51a183b3cb.gastro.prod.fhir.ema-api.com/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871520734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503809",
            "address_2": "IMALES USA INC",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631503809",
            "telephone_number": "800-775-9195",
            "fax_number": "309-688-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 WEST DEYOUNG",
            "address_2": "HEARTLAND REGIONAL MEDICAL CENTER DEPT OF RADIOLOGY",
            "city": "MAKION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-998-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULE",
        "first_name": "BRUCE",
        "middle_name": "JC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HA",
            "identifier": "073759",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360947753",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.