Ahs Il Medical Group Llc - Medicare Primary Care in Granite City, IL

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Ahs Il Medical Group Llc is a medicare enrolled primary clinic (Clinic/center) in Granite City, Illinois. The current practice location for Ahs Il Medical Group Llc is 2100 Madison Ave, Granite City, Illinois. For appointments, you can reach them via phone at (818) 666-0602. The mailing address for Ahs Il Medical Group Llc is 4273 S State Route 159, Glen Carbon, Illinois and phone number is (186) 288-2297.

Ahs Il Medical Group Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1659098101. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (818) 666-0602.

Contact Information

Ahs Il Medical Group Llc
2100 Madison Ave
Granite City
IL 62040-4713
(818) 666-0602
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameAhs Il Medical Group Llc
SpecialityClinic/Center
Location2100 Madison Ave, Granite City, Illinois
Authorized Official Name and PositionJonathan E Burket (COMPLIANCE)
Authorized Official Contact8186660602
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ahs Il Medical Group Llc
4273 S State Route 159
Glen Carbon
IL 62034-3224

Ph: (186) 288-2297		Ahs Il Medical Group Llc
2100 Madison Ave
Granite City
IL 62040-4713

Ph: (818) 666-0602

NPI Details:

NPI Number1659098101
Provider Enumeration Date10/25/2022
Last Update Date10/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5496111676
Medicare Enrollment IDO20230512001300

Medical Identifiers

Medical identifiers for Ahs Il Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659098101NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ahs Il Medical Group Llc acts as a billing entity for following providers:
Provider NameJeffrey Arendell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1386668218
PECOS PAC ID: 4082503867
Enrollment ID: I20040311000187
Provider NameBenedict Painter
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1154314839
PECOS PAC ID: 6305831769
Enrollment ID: I20040419001147
Provider NameLawrence T Harmon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275526956
PECOS PAC ID: 8224023684
Enrollment ID: I20040419001235
Provider NameDebabrata Ray
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699861583
PECOS PAC ID: 5799774691
Enrollment ID: I20040506001576
Provider NameGustavo Vonderlancken
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1881683282
PECOS PAC ID: 8123004603
Enrollment ID: I20040625000460
Provider NameScott A Wong
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1275604498
PECOS PAC ID: 5991767055
Enrollment ID: I20041101000430
Provider NamePaul Jerome Scherer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1881679181
PECOS PAC ID: 7315914439
Enrollment ID: I20041104001175
Provider NamePeter J Anderson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1548245848
PECOS PAC ID: 8123095247
Enrollment ID: I20041108000385
Provider NameAbiodun A Sangoseni
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194710483
PECOS PAC ID: 2668424052
Enrollment ID: I20050214000771
Provider NameTimothy Hipskind
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265439640
PECOS PAC ID: 8022059591
Enrollment ID: I20050513000790
Provider NameRunda A El Khatib
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245281831
PECOS PAC ID: 4284661562
Enrollment ID: I20050719000262
Provider NameBrian Erickson
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1629064225
PECOS PAC ID: 5698792042
Enrollment ID: I20060328000584
Provider NameCrystal S Jesenick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396831616
PECOS PAC ID: 7416953369
Enrollment ID: I20061017000103
Provider NameRajinder Kumar Mahay
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669490421
PECOS PAC ID: 8820050487
Enrollment ID: I20061020000148
Provider NameMurtuza H Bahrainwala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871590679
PECOS PAC ID: 8628032695
Enrollment ID: I20070613000043
Provider NameTravis L Bullock
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1699810507
PECOS PAC ID: 8325144272
Enrollment ID: I20080115000058
Provider NameLyndon F Hohenkirk
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1841243565
PECOS PAC ID: 4082517693
Enrollment ID: I20080904000023
Provider NameAmeha A Hagos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073763991
PECOS PAC ID: 2264588151
Enrollment ID: I20091027000726
Provider NameJeffrey A Parres
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1619951027
PECOS PAC ID: 3678460169
Enrollment ID: I20100629000801
Provider NameElizabeth P Mincy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922233576
PECOS PAC ID: 4981729480
Enrollment ID: I20100920001135
Provider NameMelissa L Kalaher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629161765
PECOS PAC ID: 2567588056
Enrollment ID: I20100921001259
Provider NameBrad C White
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1205810512
PECOS PAC ID: 8325935810
Enrollment ID: I20101214000940
Provider NameCourtney Shands
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1902880362
PECOS PAC ID: 1850288341
Enrollment ID: I20110104000799
Provider NameMatthew Spellman
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1205810520
PECOS PAC ID: 3274545843
Enrollment ID: I20110105000708
Provider NameDanielle Bogue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295062537
PECOS PAC ID: 2466632930
Enrollment ID: I20110216000107
Provider NameJames Rybak
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1801042700
PECOS PAC ID: 6103068564
Enrollment ID: I20130814000394
Provider NameJose Daniel Perez Porcel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427289917
PECOS PAC ID: 5395979447
Enrollment ID: I20131004000052
Provider NameFaqir Ahmad
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487684957
PECOS PAC ID: 8325004583
Enrollment ID: I20140311000266
Provider NameKevin Kuria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033535968
PECOS PAC ID: 3870716509
Enrollment ID: I20140527000168
Provider NameCari L Stefani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508286477
PECOS PAC ID: 3870712821
Enrollment ID: I20140924000942
Provider NameDelora Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659622330
PECOS PAC ID: 9537311808
Enrollment ID: I20141103001224
Provider NameSherry L Franklin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528457306
PECOS PAC ID: 9638499643
Enrollment ID: I20150616002472
Provider NameCarol Candler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770942716
PECOS PAC ID: 0446557136
Enrollment ID: I20160323001819
Provider NameKristine M Costello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922469402
PECOS PAC ID: 5496053183
Enrollment ID: I20160413001232
Provider NameTheresa D Mcfadin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831553908
PECOS PAC ID: 4688963812
Enrollment ID: I20160511002076
Provider NameGautam Datta
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568688414
PECOS PAC ID: 6406957851
Enrollment ID: I20160901000093
Provider NameCharmaine E Edwards
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1972586253
PECOS PAC ID: 1557451234
Enrollment ID: I20161110001707
Provider NameRobert Bell
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1851371082
PECOS PAC ID: 8820124803
Enrollment ID: I20170405001369
Provider NameEmily M Cottrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295262459
PECOS PAC ID: 5193093946
Enrollment ID: I20170620000286
Provider NameMelissa Bounds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831630458
PECOS PAC ID: 5496023988
Enrollment ID: I20170626002079
Provider NameLaurie Hopper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255853081
PECOS PAC ID: 8123394590
Enrollment ID: I20171030003433
Provider NameJacob Colman Blakeman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1760749261
PECOS PAC ID: 1052613122
Enrollment ID: I20180220000537
Provider NameMegan Wood
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407052996
PECOS PAC ID: 0244495521
Enrollment ID: I20180420002056
Provider NameGregory B Auffenberg
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1396977328
PECOS PAC ID: 0941513402
Enrollment ID: I20180717000433
Provider NameJacob Ark
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1891053716
PECOS PAC ID: 3870896715
Enrollment ID: I20180806001223
Provider NameSeth Strope
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1427109248
PECOS PAC ID: 9638271794
Enrollment ID: I20181120002351
Provider NameKaleena D Galletta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740787795
PECOS PAC ID: 3375808959
Enrollment ID: I20190401001061
Provider NameAmmar Barakat
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1588994289
PECOS PAC ID: 3678766243
Enrollment ID: I20190603000094
Provider NameLouis A Aliperti
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1861810350
PECOS PAC ID: 5193022614
Enrollment ID: I20190730003012
Provider NameLeann Nitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952701666
PECOS PAC ID: 2769709658
Enrollment ID: I20190816001914
Provider NameBarry N Rosenblum
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1750318341
PECOS PAC ID: 8729987789
Enrollment ID: I20190905003215
Provider NameDonald Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366090573
PECOS PAC ID: 3971835786
Enrollment ID: I20191029000651
Provider NameLauren K Sidwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720629470
PECOS PAC ID: 7416380407
Enrollment ID: I20191205000698
Provider NameJeramie L Rosales Rodriguez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1205290319
PECOS PAC ID: 0547515124
Enrollment ID: I20200709001348
Provider NameJames P Lovinggood
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1558328633
PECOS PAC ID: 5698761138
Enrollment ID: I20210331000830
Provider NameSteven W Bigg
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1932166162
PECOS PAC ID: 5092766626
Enrollment ID: I20210408001450
Provider NameJoshua L Gibson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427646496
PECOS PAC ID: 6406265198
Enrollment ID: I20210510002396
Provider NameNelson Yu
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1447297601
PECOS PAC ID: 3779554233
Enrollment ID: I20210518002361
Provider NameCrystle Kay Laugavitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386220259
PECOS PAC ID: 5294134672
Enrollment ID: I20210604002678
Provider NameAlicia M Whorton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508490806
PECOS PAC ID: 4486082740
Enrollment ID: I20210622001508
Provider NameJennings Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285148882
PECOS PAC ID: 0749542926
Enrollment ID: I20210629000523
Provider NameArmand Aslan Kachigian
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1275676975
PECOS PAC ID: 5496646507
Enrollment ID: I20210714002060
Provider NameSandra Blazek
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942721295
PECOS PAC ID: 8527390392
Enrollment ID: I20211013002312
Provider NameJennifer Mary Joy Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013686203
PECOS PAC ID: 0749679850
Enrollment ID: I20211111000509
Provider NameKaren K Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407327588
PECOS PAC ID: 5799020475
Enrollment ID: I20211123001573
Provider NameMohamad A Albsheri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447508874
PECOS PAC ID: 3779891379
Enrollment ID: I20220125002720
Provider NameDavid Shiyu Zhu
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1821440751
PECOS PAC ID: 9436441458
Enrollment ID: I20220921003340
Provider NameShawn M Nies
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356094650
PECOS PAC ID: 6002292273
Enrollment ID: I20220927000156
Provider NameDane Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528787744
PECOS PAC ID: 7012393143
Enrollment ID: I20220927003038
Provider NameKaitlyn Drost
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376267666
PECOS PAC ID: 1759759756
Enrollment ID: I20221123000465
Provider NameRiyadh Salih
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215590039
PECOS PAC ID: 1456688001
Enrollment ID: I20221201001144
Provider NameLaura Ann Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710604780
PECOS PAC ID: 6002287323
Enrollment ID: I20230125001146
Provider NameApril L Schmidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558468546
PECOS PAC ID: 6901804954
Enrollment ID: I20230215002587
Provider NameZachary Wade Orr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184221160
PECOS PAC ID: 7517374010
Enrollment ID: I20230607002471

Reviews and Comments


Clinic/Center in Granite City, IL

Heartland Healthcare
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Medicare: Medicare Enrolled
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Phone: 618-798-8652    Fax: 618-798-8116
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Granite City Clinic Corp
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Medicare: Medicare Enrolled
Practice Location: 2044 Madison Ave, Suite 27, Granite City, IL 62040
Phone: 618-451-7600    Fax: 618-451-7685
Old Six Mile Inpatient Services, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 2100 Madison Ave, Granite City, IL 62040
Phone: 618-798-3000    
Chestnut Family Health Center Granite City
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Medicare: Medicare Enrolled
Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040
Phone: 618-512-1919    Fax: 618-512-1920
Sihf Hud 2 Facility
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Medicare: Not Enrolled in Medicare
Practice Location: 1832 Cleveland Blvd, Granite City, IL 62040
Phone: 618-397-3303    Fax: 618-397-7802

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.