NPIMap

Individual provider Active NPI

Ulunna Kechinyere Macbean, M.D

  • Surgery Physician
  • Breese, IL
National Provider Identifier
1962660753
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036146370 Issued in IL
Practice address
9515 Holy Cross LN Ste 175
Breese, IL 62230-3618
Phone
(618) 526-8430
NPI assigned
May 28, 2008
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X 036146370 IL Primary

Addresses

Primary practice location

9515 Holy Cross LN Ste 175
Breese, IL 62230-3618

Mailing address

9401 Holy Cross LN Ste 113
Breese, IL 62230-3510
Phone (618) 526-8430

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
I20180629002069 IL Practitioner - General Surgery 5294044400 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Surgical Associates, LTD.Group PAC ID 9335320597, 25 clinicians
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1414 Cross St
Shiloh, IL 62269-2941
Phone (618) 277-7400

1414 Cross St
Suite 330
Shiloh, IL 62269-2988

9409 Holy Cross Lane
Suite 113
Breese, IL 62230-3510
Phone (618) 526-8430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy120
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux68
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036146370ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Jul 1, 2018 Accepting new patients
HSHS Holy Family Hospital Inc CurrentSince Jul 1, 2018 Accepting new patients
SJL Health Systems Inc CurrentSince Jul 1, 2018 Accepting new patients
HSHS Holy Family Hospital Inc Surgery CurrentSince Jul 1, 2018 Accepting new patients
Lincoln Surgical Associates, LTD. Surgery CurrentSince Apr 28, 2025 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
HSHS Medical Group Inc PastSince Jul 1, 2018 Accepting new patients

Locations

9401 Holy Cross Ln
Ste 113
Breese, IL 62230

9409 Holy Cross Ln
Ste 113
Breese, IL 62230
Phone (618) 526-8430

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

12860 Troxler Ave
Highland, IL 62249
Phone (618) 235-3687

12860 Troxler Ave
Ste 300
Highland, IL 62249
Phone (618) 664-9831

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

1414 Cross St
Ste 330
Shiloh, IL 62269
Phone (618) 228-8610

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

Interoperability endpoints

  • Direct secure messaging: phys_ulunna_k_macbean@yourcarecommunity.org

Organizations & group practices 7

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1962660753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 HOLY CROSS LN STE 113",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303510",
            "telephone_number": "618-526-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 HOLY CROSS LN STE 175",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303618",
            "telephone_number": "618-526-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACBEAN",
        "first_name": "ULUNNA",
        "middle_name": "KECHINYERE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036146370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breese, IL

Sources for this page

Verify at the official NPI Registry.