MEHRDAD JELODAR MD NPI 1013891571

NPI Information

  • NPI: 1013891571
  • Provider Name: MEHRDAD JELODAR, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 102 W KENWOOD AVE STE 100
    DECATUR, IL
    ZIP 62526
  • Phone: (217) 872-3811

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NPI Details

Mehrdad Jelodar, MD is a family medicine in Decatur, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mehrdad Jelodar, MD NPI is 1013891571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

102 W KENWOOD AVE STE 100
DECATUR, IL
ZIP 62526-379
Phone: (217) 872-3811
Fax: (217) 872-0849

The enumeration date for this NPI number is 8/5/2025 and was last updated on 8/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine125085248ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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