ANTHONY O AMIEWALAN MD, SC
ANTHONY O AMIEWALAN MD, SC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1053543215, based in Decatur, IL. The organization lists 3 taxonomy classifications, with Legal Medicine recorded as primary.
Getting there
The practice address on file is 2965 N MAIN ST STE A, Decatur, IL 62526. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036112019 | IL | Legal Medicine primary |
This provider holds licence 036112019 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7517003098
- Enrollment ID
- O20091014000462
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Legal Medicine covers
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. NUCC Health Care Provider Taxonomy, code 173000000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 173000000X | Legal Medicine | 036112019 | IL | primary |
| 261Q00000X | Clinic/Center | — | — | |
| 261QH0100X | Health Service Clinic/Center Health Service | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1053543215 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 20, 2009 |
| Last updated | Mar 27, 2025 |
| Status | Active |
| Practice address |
2965 N MAIN ST STE A Decatur, IL 62526 (217) 422-0560 Fax (217) 422-0872 |
| Mailing address |
2665 NORTH MAIN STREET SUITE A Decatur, IL 62526 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 5 | 4 | 3 | 2 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 1 | 4 | 6 | 2 | 2 |
Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.