DECATUR OBGYN ASSOCIATES LLC NPI 1396897526

NPI Information

  • NPI: 1396897526
  • Provider Name: DECATUR OBGYN ASSOCIATES, LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 1 MEMORIAL DR
    SUITE 300
    DECATUR, IL
    ZIP 62526
  • Phone: (217) 875-5545

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NPI Details

DECATUR OBGYN ASSOCIATES, LLC is an obstetrics gynecology in Decatur, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DECATUR OBGYN ASSOCIATES, LLC NPI is 1396897526. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1 MEMORIAL DR
SUITE 300
DECATUR, IL
ZIP 62526-303
Phone: (217) 875-5545

The provider's authorized official is Roy Tsuda .
The authorized official title is Vice President and has the following contact phone number (217) 875-5545.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/7/2008.

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
1207V00000XObstetrics & Gynecology036072402ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036104247MEDICAIDILLINOIS
2020005538OTHERILLINOISMEDICARE RAILROAD
31396897526OTHERILLINOISMEDICARE RAILROAD
4C47968MEDICARE UPINILLINOIS
5L92750MEDICARE PINILLINOIS
6H37400MEDICARE UPINILLINOIS
7F54210MEDICARE UPINILLINOIS
8L35247MEDICARE PINILLINOIS
9CM4913OTHERILLINOISMEDICARE RAILROAD
10036098445MEDICAIDILLINOIS
11L89205MEDICARE PINILLINOIS
12L35246MEDICARE PINILLINOIS
13160057787OTHERILLINOISMEDICARE RAILROAD
14160055053OTHERILLINOISMEDICARE RAILROAD
15160020964OTHERILLINOISMEDICARE RAILROAD
16F82302MEDICARE UPINILLINOIS
17H15258MEDICARE UPINILLINOIS
18036087950MEDICAIDILLINOIS
19358960MEDICARE OSCAR/CERTIFICATIONILLINOIS
20L62268MEDICARE PINILLINOIS
21036072402MEDICAIDILLINOIS
22036086221MEDICAIDILLINOIS

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: 11/21/2025

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