Ramon B Inciong, MD
Individual provider Active NPI Internal Medicine Physician · Oglesby, IL
NPI 1891707998 · NPPES record last updated Aug 25, 2008
Key facts
- NPI
- 1891707998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036084592 (IL)
- Practice address
- 402 W Walnut St
Oglesby, IL 61348-1453 - Phone
- (815) 883-3241
- Fax
- (815) 883-3347
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 24 On Physicians PC
Practice addresses (Care Compare)
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 431-5380
Hospital & facility affiliations
- Osf Hospice
- Osf Saint Elizabeth MDL Ctr
- Saint Anthony Medical Center
- Osf Saint Clare Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 77.5
- Improvement activities
- 40
- Cost
- 74.58
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 |
|---|---|---|---|
| Osf Hospice |
Hospice | W-2 Managing Employee | Jun 9, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060310000034 | IL | Practitioner - Internal Medicine |
3173511599 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036084592 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians, PC | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current |
Accepting new patients |
| 24 On Physicians, P.C. | Current |
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
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
600 E 1st St
Spring Valley, IL 61362
Phone (815) 664-1477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036084592 | IL | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036084592 | Medicaid | IL |
Other providers in Oglesby, IL
- Bonnie Lynn Dzik
- Emanuel Gonzalez
- Julia Marie Graham
- Erica Griglione
- Carly Ann Hurst
- Jyothish Joseph
- Michael Allen Kristensen
- Britnae L Lewis
- Angela S Massutti
- Mendota Community Hospital
All providers in Oglesby, IL · Internal 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 Aug 25, 2008. 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.