Amorkor Sogbodjor
Individual provider Active NPI Internal Medicine Physician · Decatur, IL
NPI 1992238760 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1992238760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036167087 (IL)
- Practice address
- 4775 E Maryland St
Decatur, IL 62521-8820 - Phone
- (217) 864-3737
- NPI assigned
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Decatur Memorial Hospital
Practice addresses (Care Compare)
4775 E Maryland St
Decatur, IL 62521-8802
Phone (217) 864-3737
Hospital & facility affiliations
- Enhabit Home Health
- Memorial Home Services
- Decatur Memorial Hospital
- St Marys Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.88 of 100
- Quality
- 63.91
- Improvement activities
- 40
- Cost
- 77.03
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231026002655 | IL | Practitioner - Internal Medicine |
4082948880 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic LLP | Current | Accepting new patients | |
| Decatur Memorial Hospital | Current |
Accepting new patients | |
| Decatur Memorial Hospital | Internal Medicine | Current |
Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
4775 E Maryland St
Decatur, IL 62521
Phone (217) 864-2700
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
Interoperability endpoints
- amorkorsogbodjor@sfc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036167087 | IL | Yes |
| Pediatrics Physician | 208000000X | 036167087 | IL |
Addresses
Primary practice location
4775 E Maryland St
Decatur, IL 62521-8820
Mailing address
4775 E Maryland St
Decatur, IL 62521-8820
Phone (217) 864-3737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036167087 | Other | IL | MD LICENSE |
Other providers in Decatur, IL
- William Smith IV
- Anastacia Smull
- Allyson Snyder
- Gerald A Snyder
- Steven M Sobol
- Cathy J Solomon
- Angela Elena Solon
- Kristina Linda Sommer
- Vinay Soni
- Nicole Suzette Soper
All providers in Decatur, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.