Dr Ajay Verma, MD - Medicare Pulmonary Disease in Decatur, IL

Dr Ajay Verma, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Decatur, Illinois. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Decatur Memorial Hospital and his current practice location is 2300 N Edward St, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 876-4200.

Dr Ajay Verma is licensed to practice in Illinois (license number 036111194) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285609321.

Contact Information

Dr Ajay Verma, MD
2300 N Edward St,
Decatur, IL 62526-4163
(217) 876-4200
(217) 876-4209

Map and Direction




Physician's Profile

Full NameDr Ajay Verma
GenderMale
SpecialityPulmonary Disease
Experience38 Years
Location2300 N Edward St, Decatur, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ajay Verma graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1285609321
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 12/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6901877455
  • Enrollment ID: I20040805001390

Medical Identifiers

Medical identifiers for Dr Ajay Verma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285609321NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 036111194 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Decatur Memorial HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Decatur Memorial Hospital6204731144134

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ajay Verma allows following entities to bill medicare on his behalf.
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ajay Verma is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ajay Verma, MD
2300 N Edward St,
Decatur, IL 62526-4163

Ph: (217) 876-4200
Dr Ajay Verma, MD
2300 N Edward St,
Decatur, IL 62526-4163

Ph: (217) 876-4200

Reviews and Comments


Internal Medicine Doctors in Decatur, IL

Dr. Jeanne Marie Kairouz, MD
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Practice Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521
Phone: 217-422-6100    
Dr. Stephen R Goetter, M.D.
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Medicare: Medicare Enrolled
Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526
Phone: 217-876-5600    Fax: 217-876-5664
Dr. Prameeta Jha,
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Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526
Phone: 217-876-3660    Fax: 217-876-3665
David W Baumberger, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526
Phone: 217-876-5600    Fax: 217-876-5664
Dr. Ahmad H Ahmad, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1770 E Lake Shore Dr, Suite 201, Decatur, IL 62521
Phone: 217-428-7921    Fax: 217-428-7931
Nadal M Aker, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Suite 2400, Decatur, IL 62526
Phone: 217-876-2400    Fax: 217-876-2405
Omar Mohammad Al-heeti, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 102 W Kenwood Ave, Decatur, IL 62526
Phone: 217-545-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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