Active NPI
Karleen Marie McNeal, MD
- Geriatric Medicine (Internal Medicine) Physician
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 036104333
- Practice address
- 1801 Windsor Rd
Champaign, IL 61822-6217 - Phone
- (217) 366-5434
- Fax
- (217) 366-6106
- NPI assigned
- Aug 29, 2006
- Last updated
- Oct 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27601 | SC | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 036104333 | IL | Primary |
Addresses
Primary practice location
1801 Windsor Rd
Champaign, IL 61822-6217
Mailing address
101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276016 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27601 | SC | MD | Internal Medicine Physician |
| 036104333 | IL | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Clinic, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255
1801 W Windsor Rd
Champaign, IL 61822
Phone (217) 366-5434
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
Interoperability endpoints
- kmcnealmd288449@carlehiedirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Haven of Meadowbrook | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Dec 1, 2024 Dec 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Champaign, IL
- NPI 1316766462
Adp of the SNF, Operational/Managerial Control
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Champaign, IL
- NPI 1871523829
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carle Hospice
- Community Based Hospice Care Agency
- Champaign, IL
- NPI 1851387385
-
- Community Based Hospice Care Agency
- Champaign, IL
- NPI 1063928315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414713600000",
"number": "1972611838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203909",
"telephone_number": "217-366-1200",
"fax_number": "217-366-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 WINDSOR RD",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618226217",
"telephone_number": "217-366-5434",
"fax_number": "217-366-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEAL",
"first_name": "KARLEEN",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2014-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "27601",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IL",
"license": "036104333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276016",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.