Individual provider Active NPI

Douglas M. Byers, M.D.

  • Family Medicine Physician
  • Hillsboro, IL
National Provider Identifier
1891805099
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-061815 Issued in IL
Practice address
1250 E Tremont St
Hillsboro, IL 62049-1912
Phone
(217) 532-6911
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-061815 IL Primary

Addresses

Primary practice location

1250 E Tremont St
Hillsboro, IL 62049-1912

Mailing address

1025 S 6TH St
Springfield, IL 62703-2416
Phone (217) 528-7541

Other identifiers 1

IdentifierTypeStateIssuer
036061815MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address douglasbyers@sfc.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060124000161 IL Practitioner - Family Practice 1850310046 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-061815ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Clinic, LLP CurrentSince Oct 15, 2003 Accepting new patients
Springfield Clinic LLP CurrentSince Oct 15, 2003 Accepting new patients

Locations

300 N Broad St
Carlinville, IL 62626
Phone (217) 544-2020

1250 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-6911

1025 S 6th St
Springfield, IL 62703

Interoperability endpoints

  • Direct secure messaging: douglas.byers.2@28977.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1891805099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032416",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E TREMONT ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491912",
            "telephone_number": "217-532-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS",
        "first_name": "DOUGLAS",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-061815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061815",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "douglasbyers@sfc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1250 E Tremont St",
            "city": "Hillsboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620491912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, IL

Sources for this page

Verify at the official NPI Registry.