NPIMap

Individual provider Active NPI

Naeemuddin Jatoi, M.D.

  • Internal Medicine Physician
  • Decatur, IL
National Provider Identifier
1922070333
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-100857 Issued in IL
Practice address
176 W Mound Rd
Decatur, IL 62526-1964
Phone
(217) 875-0163
Fax
(217) 875-9007
NPI assigned
Feb 2, 2006
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-100857 IL Primary
Hospitalist Physician 208M00000X 036-100857 IL

Addresses

Primary practice location

176 W Mound Rd
Decatur, IL 62526-1964

Mailing address

176 W Mound Rd
Decatur, IL 62526-1964
Phone (217) 875-0163

Other identifiers 2

IdentifierTypeStateIssuer
896414OtherILHEALTHLINK
5815191OtherILBC/BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address njatoi30106@ewd.direct.hshs.org Direct

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
I20050629000658 IL Practitioner - Internal Medicine 2567408602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1750 E Lake Shore Dr
Suite 100
Decatur, IL 62521-3803
Phone (217) 475-2880

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

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-100857ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Jul 1, 2010 Accepting new patients
St Marys Hospital Decatur of the Hospital Sisters of the Third Order CurrentSince Jan 1, 2008 Accepting new patients
HSHS Medical Group Inc Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
Jatoi Clinic, LTD. Internal Medicine PastSince Jul 1, 2006 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1750 E Lake Shore Dr
#100
Decatur, IL 62521

1750 E Lake Shore Dr
Ste 100
Decatur, IL 62521
Phone (217) 464-2505

176 W Mound Rd
Decatur, IL 62526
Phone (217) 391-8730

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Organizations & group practices 6

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 6

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1922070333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 W MOUND RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261964",
            "telephone_number": "217-875-0163",
            "fax_number": "217-875-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 W MOUND RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261964",
            "telephone_number": "217-875-0163",
            "fax_number": "217-875-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JATOI",
        "first_name": "NAEEMUDDIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-100857",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036-100857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "896414",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "5815191",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "njatoi30106@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "176 W Mound Rd",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625261964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.