NPIMap

Individual provider Active NPI

Ramon B Inciong, MD

  • Internal Medicine Physician
  • Oglesby, IL
National Provider Identifier
1891707998
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036084592 Issued in IL
Practice address
402 W Walnut St
Oglesby, IL 61348-1453
Phone
(815) 883-3241
Fax
(815) 883-3347
NPI assigned
Aug 13, 2006
Last updated
Aug 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036084592 IL Primary

Addresses

Primary practice location

402 W Walnut St
Oglesby, IL 61348-1453

Mailing address

600 E 1St St
Spring Valley, IL 61362-1512
Phone (815) 883-3241

Other identifiers 1

IdentifierTypeStateIssuer
036084592MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060310000034 IL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 3173511599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 431-5380

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, PC CurrentSince Nov 5, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
24 On Physicians, P.C. CurrentSince Nov 5, 2023 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Jun 2, 2025 Accepting new patients

Locations

405 W Jackson St
Carbondale, IL 62901

9951 Rock Cut Xing
Loves Park, IL 61111
Phone (815) 639-8450

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

600 E 1st St
Spring Valley, IL 61362
Phone (815) 664-1477

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Osf HospiceLoves Park, IL, CCN 141605 Hospice W-2 Managing Employee Jun 9, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 4

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1891707998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-883-3241",
            "fax_number": "815-883-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W WALNUT ST",
            "city": "OGLESBY",
            "state": "IL",
            "postal_code": "613481453",
            "telephone_number": "815-883-3241",
            "fax_number": "815-883-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCIONG",
        "first_name": "RAMON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036084592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084592",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oglesby, IL

Sources for this page

Verify at the official NPI Registry.