Individual provider Active NPI

Ujunwa Ebili

  • Family Medicine Physician
  • Taylorville, IL
National Provider Identifier
1952034241
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125.079288 Issued in IL
Practice address
1304 Burnett Dr
Taylorville, IL 62568-9519
Phone
(217) 321-9310
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 125.079288 IL Primary

Addresses

Primary practice location

1304 Burnett Dr
Taylorville, IL 62568-9519

Mailing address

1304 Burnett Dr
Taylorville, IL 62568-9519
Phone (217) 321-9310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address uebili528981@ewd.direct.hshs.org Other

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
I20260506001197 IL Practitioner - Family Practice 3678090842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1304 Burnett Dr
Taylorville, IL 62568-9519

3051 Hollis Dr
Springfield, IL 62704-7450

6201 Greenleigh Ave
Middle River, MD 21220-2004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125.079288ILMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: uebilili165404@uihealth.direct-ci.com
  • Direct secure messaging: uebili1374416@direct.hopkinsmedicine.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1952034241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BURNETT DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689519",
            "telephone_number": "217-321-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BURNETT DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689519",
            "telephone_number": "217-321-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBILI",
        "first_name": "UJUNWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.079288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uebili528981@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CDA/CCD/TXT",
            "address_1": "1304 Burnett Dr",
            "city": "Taylorville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625689519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

Verify at the official NPI Registry.