Adree Venatta, MD
Individual provider Active NPI Family Medicine Physician · Toledo, IL
NPI 1871722751 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1871722751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036131255 (IL)
- Practice address
- 168 Courtyard Square
SBL Toledo Clinic
Toledo, IL 62468 - Phone
- (217) 849-3151
- Fax
- (217) 849-3123
- NPI assigned
- Jul 13, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sarah Bush Lincoln Health Center
Practice addresses (Care Compare)
101 Professional PLZ
Mattoon, IL 61938-9252
Phone (217) 238-3730
104 Courthouse SQ
Toledo, IL 62468-1052
Phone (217) 849-3151
Hospital & facility affiliations
- Sarah Bush Lincoln Home Care
- HSHS Home Care Illinois
- Sarah Bush Lincoln Health Center
- St Anthonys Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130121000208 | IL | Practitioner - Family Practice | 5991958142 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036131255 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County | Current |
Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current |
Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients |
Locations
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
200 S Indiana St
Toledo, IL 62468
Phone (217) 849-3211
104 Courthouse Sq
Toledo, IL 62468
Phone (217) 849-2666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036131255 | IL | Yes |
Addresses
Primary practice location
168 Courtyard Square
SBL Toledo Clinic
Toledo, IL 62468
Mailing address
1005 Health Center Dr Ste 201
Mattoon, IL 61938-4693
Phone (217) 238-6055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036131255001 | Medicaid | IL |
Other providers in Toledo, IL
- William Arthur Nebel
- Noble Health Associates LLC
- Jennifer Marie Phillips
- Debra F Stinson
- Toledo Area Emergency Ambulance Service Inc
- Troy Layne Warner
- Cheryl Wilson
All providers in Toledo, 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 Feb 5, 2020. 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.
- 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.