Xueguang Chen (NPI# 1730243015, PAC ID# 9234225152) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1730243015 |
| PAC ID by PECOS | 9234225152 |
| Professional Enrollment ID | I20080815000116 |
| Full Name | Xueguang Chen |
| Organization Legal Name | CENTRAL ILLINOIS KIDNEY AND DIALYSIS ASSOCIATES, SC |
| Address |
3401 Conifer Dr Springfield IL 62711-8300 |
| Phone Number | 2177260967 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEPHROLOGY |
| Group Practice PAC ID | 7618045998 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| 140148 | MEMORIAL MEDICAL CENTER |
| 141350 | ST FRANCIS HOSPITAL |
| 140058 | PASSAVANT AREA HOSPITAL |
| 141347 | CARLINVILLE AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3401 Conifer Dr, Springfield, IL 62711-8300 | 2177260967 | CENTRAL ILLINOIS KIDNEY AND DIALYSIS ASSOCIATES, SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTRAL ILLINOIS KIDNEY AND DIALYSIS ASSOCIATES, SC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamad N Alhosaini | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Ashraf Tamizuddin | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Allen S Krall | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Lawrence J Smith | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Aqeel Ahmad | Nephrology | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Vikrampal S Bhatti | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Pradeep K Mehta | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Street Address |
3401 CONIFER DR |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62711-8300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamad N Alhosaini | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Ashraf Tamizuddin | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Allen S Krall | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Lawrence J Smith | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Aqeel Ahmad | Nephrology | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Vikrampal S Bhatti | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Pradeep K Mehta | Internal Medicine | Central Illinois Kidney and Dialysis Associates, Sc | 3401 Conifer Dr, Springfield, IL 62711-8300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie Mccormick | Nurse Practitioner | Memorial Physician Services | 3225 Hedley Rd, Springfield, IL 62711-6248 |
| Sean Edward Mccaffrey | Chiropractic | 3330 Hedley Rd, Suite C, Springfield, IL 62711-6384 | |
| Judy M Tonry | Nurse Practitioner | Hshs Medical Group Inc | 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 |
| Corey M Colson | Registered Dietitian Or Nutrition Professional | Hshs Medical Group Inc | 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 |
| Rajinder D Balasuriya | Internal Medicine | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Nichole Brockmeyer | Nurse Practitioner | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Juliet Anne Oury | Nurse Practitioner | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Jaclyn M Mcfadden | Qualified Audiologist | Central Illinois Hearing and Speech Ltd. | 4000 Westgate Dr, Springfield, IL 62711-7066 |
| Tonya Kay Bourn | Optometry | 4000 Westgate Dr, Springfield, IL 62711-7066 | |
| Jonathan L Ottino | Optometry | Springfield Vision Care Associates Ltd | 2741 Praire Crossing Dr, Springfield, IL 62711-7162 |
| Find all physicians in zip 62711 | |||
| City | SPRINGFIELD |
| Zip Code | 62711 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SPRINGFIELD + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.