Organization provider

SOUTHERN ILLINOIS INTERNAL MEDICINE LTD

Internal Medicine Physician Medicare enrolled

SOUTHERN ILLINOIS INTERNAL MEDICINE LTD is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1376630103, based in Belleville, IL. It is classified under Internal Medicine Physician.

Getting there

The practice address on file is 4600 MEMORIAL DRIVE SUITE 310, Belleville, IL 62226. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4600 MEMORIAL DRIVE SUITE 310, Belleville, IL 62226 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
036079702 IL Internal Medicine Physician primary

This provider holds licence 036079702 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
2769567346
Enrollment ID
O20080306000287

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 Internal Medicine covers

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NUCC Health Care Provider Taxonomy, code 207R00000X
Allopathic & Osteopathic Physicians Internal Medicine

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.

NPI1376630103 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateOct 5, 2006
Last updatedMar 7, 2008
StatusActive
Practice address 4600 MEMORIAL DRIVE
SUITE 310
Belleville, IL 62226
(618) 235-8720
Fax (618) 235-8725
Other identifiers 036079702 · Medicaid (IL)
This record was last updated on Mar 7, 2008, roughly 18 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1376630103 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 3 7 6 6 3 0 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 5 6 3 3 0 1 0

Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3

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.

Common questions

What is NPI number 1376630103?
NPI 1376630103 is the National Provider Identifier assigned to SOUTHERN ILLINOIS INTERNAL MEDICINE LTD in Belleville, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Internal Medicine Physician cover?
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive…
How do I contact SOUTHERN ILLINOIS INTERNAL MEDICINE LTD?
The phone number on file with NPPES is (618) 235-8720, last updated Mar 7, 2008. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SOUTHERN ILLINOIS INTERNAL MEDICINE LTD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1376630103 a valid number?
Yes. 1376630103 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.