VSR PLLC
NPI 1104510650
Internal Medicine in Decatur, IL

Active since June 07, 2023
180 W IMBODEN DR, DECATUR, IL 62521(715) 207-1134 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2023, Jun 7, 2023 (2 updates tracked since 2023).

About Vsr Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VSR PLLC (NPI 1104510650) is a healthcare organization registered as an internal medicine in Decatur, Illinois and active in the NPI registry since June 2023. The organization maintains 3 additional practice locations and lists Venu M Rangu, President, as its authorized official.

NPPES Registry Identity

NPI1104510650
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVSR PLLC
Location Address180 W IMBODEN DRDecatur, IL 62521-5238
Mailing Address4200 Conestoga Dr Ste 102, Po Box 178Springfield, IL 62711-7937 · (715) 207-1134
Organization SubpartNo
Authorized OfficialVenu M RanguPresident · (715) 387-9055
Enumeration DateJune 7, 2023
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1104510650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X
180 W IMBODEN DR, Decatur, IL 62521

Secondary Practice Locations 3

Location 11790 S Fairview AveDecatur, IL 62521-4010 · Phone (715) 207-1134
Location 2500 W McKinley AveDecatur, IL 62526-3281 · Phone (715) 207-1134
Location 3565 W Marion AveForsyth, IL 62535-2099 · Phone (715) 207-1134

Other Identifiers 1

OtherF100973628IL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
180 W IMBODEN DR
DECATUR, IL 62521
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
180 W IMBODEN DR
DECATUR, IL 62521
Skilled Nursing Facility
180 W IMBODEN DR
DECATUR, IL 62521
Occupational Therapist
180 W IMBODEN DR
DECATUR, IL 62521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104510650, enumerated as an "organization" on June 07, 2023.

The provider is located at 180 W IMBODEN DR DECATUR, IL 62521 and the phone number is (715) 207-1134.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.