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MFOWETHU THEOPHILUS LANGENI DO
NPI 1164082533
Family Medicine in Bloomington, IL

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
210 SAINT JOSEPH DR, BLOOMINGTON, IL 61701(309) 663-5050(309) 662-3401 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Jul 17, 2024, Jan 2, 2023 and 2 more (5 updates tracked since 2019).

About Mfowethu Theophilus Langeni Do NPPES

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

MFOWETHU THEOPHILUS LANGENI DO (NPI 1164082533) is an individual family medicine provider in Bloomington, Illinois, licensed in Illinois (036171236) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Florence.

NPPES Registry Identity

NPI1164082533
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMFOWETHU THEOPHILUS LANGENICredential: DO
Location Address210 SAINT JOSEPH DRBloomington, IL 61701-3636
Mailing Address210 Saint Joseph DrBloomington, IL 61701-3636 · (309) 663-5050 · Fax (309) 662-3401
Phone(309) 663-5050
Fax(309) 662-3401
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 18, 2019
Last NPPES UpdateJuly 25, 20245 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1164082533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036171236✔ Licensed in KY · 05361
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
210 SAINT JOSEPH DR, Bloomington, IL 61701
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Secondary Practice Location 1

Location 14900 Houston RdFlorence, KY 41042-4824 · Phone (859) 301-8074 · Fax (859) 301-4945

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mfowethu Theophilus Langeni Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991176455
PECOS Enrollment IDI20240807004048
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services22 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JESSICA DURBIN APN
Nurse Practitioner (Family)
210 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (309) 663-5050
IMOLEAYO TAIWO BABARINDE
Nurse Practitioner (Family)
210 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (309) 603-9800
NADIR BAZIZ APRN
Nurse Practitioner
210 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (217) 819-2094
AMBER KINGERY
Nurse Practitioner (Family)
210 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
McLean County (217) 493-7587

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mfowethu Langeni's NPI number?

The NPI number for Mfowethu Langeni is 1164082533. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Mfowethu Langeni located?

Mfowethu Langeni practices at 210 Saint Joseph Dr, Bloomington, IL 61701. The listed phone number is (309) 663-5050.

What is Mfowethu Langeni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mfowethu Langeni enrolled in Medicare?

Yes. Mfowethu Langeni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mfowethu Langeni accept?

Health plans from CareSource list Mfowethu Langeni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mfowethu Langeni affiliated with any hospitals?

According to CMS data, Mfowethu Langeni is affiliated with Saint Francis Medical Center and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Mfowethu Langeni was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.