| Manoj Kohli, MD | |
|
1730 E Lake Shore Dr, Decatur, IL 62521-3809 | |
| (217) 329-1000 | |
| (217) 329-1055 |
| Full Name | Manoj Kohli |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 1730 E Lake Shore Dr, Decatur, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215948146 | NPI | - | NPPES |
| 64-021496 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 35622 (Kentucky) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 036127290 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carlinville Area Hospital | Carlinville, IL | Hospital |
| Hammond Henry Hospital | Geneseo, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hammond Henry Dist Hospital | 0143115949 | 41 |
| Hammond Henry Dist Hospital | 0143115949 | 41 |
| Entity Name | Carlinville Area Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932275641 PECOS PAC ID: 9032021373 Enrollment ID: O20031104000520 |
| Entity Name | Pana Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
| Entity Name | Hammond Henry Dist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457344491 PECOS PAC ID: 0143115949 Enrollment ID: O20071211000175 |
| Entity Name | Carlinville Area Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1053425124 PECOS PAC ID: 9032021373 Enrollment ID: O20080422000666 |
| Entity Name | Hammond Henry Dist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629517313 PECOS PAC ID: 0143115949 Enrollment ID: O20170511000385 |
| Entity Name | Hammond Henry Dist Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1457344491 PECOS PAC ID: 0143115949 Enrollment ID: O20180131000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Manoj Kohli, MD 1730 E Lake Shore Dr, Decatur, IL 62521-3809 Ph: (217) 329-1000 | Manoj Kohli, MD 1730 E Lake Shore Dr, Decatur, IL 62521-3809 Ph: (217) 329-1000 |
Dr. Jeanne Marie Kairouz, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521 Phone: 217-422-6100 |
Dr. Stephen R Goetter, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664 |
Dr. Huzefa Mustafa Bhopalwala, MD Rheumatology Medicare: May Accept Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 |
David W Baumberger, M.D. Rheumatology Medicare: Medicare Enrolled 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. Rheumatology 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. Rheumatology 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 Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 304 W Hay St Ste 212, Decatur, IL 62526 Phone: 217-876-4390 Fax: 217-876-4395 |