| NPI | 1386832855 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-10-10 |
| Last Updated | 2017-02-13 |
| Mailing Address | 2905 N Main St, Suite G Decatur, IL 62526-4276 United States Phone: (217) 425-2600 | Fax: (217) 425-2900 📍 View Map |
| Primary Practice Address | 2905 N Main St, Suite G Decatur, IL 62526-4276 United States Phone: (217) 425-2600 | Fax: (217) 425-2900 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IL | 36-094691 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207X00000X – Orthopaedic Surgery | IL | 36094691 |
| No | 207XX0005X – Orthopaedic Surgery, Sports Medicine | IL | 36094691 |
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About NPI 1386832855
John Chris Kefalas M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1386832855. The primary specialty listed is Orthopaedic Surgery. The provider is located in Decatur, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-10-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1386832855?
NPI 1386832855 belongs to John Chris Kefalas M.D., a Orthopaedic Surgery in Decatur, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1386832855 active?
The current status of NPI 1386832855 in the NPPES registry is Active. The record was last updated on 2017-02-13.
What specialty is NPI 1386832855?
NPI 1386832855 is classified under the taxonomy Orthopaedic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1386832855?
You can verify NPI 1386832855 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1386832855?
The primary practice address on file for NPI 1386832855 is 2905 N Main St, Decatur, IL 62526-4276. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1386832855 issued?
NPI 1386832855 was first issued (enumerated) on 2007-10-10. The NPPES record was last updated on 2017-02-13.
Practice Location Map
John Chris Kefalas is located at 2905 N Main St, Decatur, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as John Chris Kefalas. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1386832855. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Orthopaedic Surgery | 36094691 | IL |
| Orthopaedic Surgery, Sports Medicine | 36094691 | IL |