Organization Active NPI

Decatur Neurological Associates LTD.

  • Neurology Physician
  • Decatur, IL
National Provider Identifier
1922128388
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
DECATUR NEUROLOGICAL ASSOCIATES LTD.
Practice address
1750 E Lake Shore Dr Ste 310
Decatur, IL 62521-3806
Phone
(217) 872-5943
Fax
(217) 872-7665
NPI assigned
Mar 30, 2007
Organization subpart
Yes
Parent organization
DECATUR NEUROLOGICAL ASSOCIATES LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Rana Hamid Mahmood, MDNPI 1043363211
Title
Physician/Owner
Phone
(217) 872-5943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary
Medical Specialty Clinic/Center 261QM2500X 042004464 IL
Medical Specialty Clinic/Center 261QM2500X IL

Addresses

Primary practice location

1750 E Lake Shore Dr Ste 310
Decatur, IL 62521-3806

Mailing address

304 W Hay St
Ste 214
Decatur, IL 62526-6328
Phone (217) 872-5943

Other identifiers 1

IdentifierTypeStateIssuer
036045992MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000719 IL Part B Supplier - Clinic/Group Practice 0840253829 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton, IL; Decatur, IL; Effingham, IL; Monticello, IL; Pana, IL; Shelbyville, IL

National Provider Directory

National Provider Directory
Part of
Decatur Neurological Associates LTD

Locations

302 W Hay St
Ste 210
Decatur, IL 62526
Phone (217) 872-7000

302 W Hay St
#9822
Decatur, IL 62526

2 Sage Crossing Blvd
Monticello, IL 61856
Phone (217) 872-5943

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1922128388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W HAY ST",
            "address_2": "STE 214",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266328",
            "telephone_number": "217-872-5943",
            "fax_number": "217-872-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E LAKE SHORE DR STE 310",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213806",
            "telephone_number": "217-872-5943",
            "fax_number": "217-872-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR NEUROLOGICAL ASSOCIATES LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DECATUR NEUROLOGICAL ASSOCIATES LTD.",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "RANA",
        "authorized_official_middle_name": "HAMID",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "217-872-5943",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "042004464",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036045992",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.