Southern Illinois Medical Services, Nfp
NPI 1770656837ActiveOrganization· Internal Medicine· Carbondale, IL
Internal Medicine in Carbondale, Illinois, registered in NPPES in November 2006, part of Southern Illinois Hospital Services. The authorized official on file is Warren P. Ladner, Senior Vp Chief Financial Officer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1770656837 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southern Illinois Hospital Services |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Jan 7, 2025 |
| Certified by provider | Jan 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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