DECATUR MEMORIAL HOSPITAL
NPI 1164477725
General Acute Care Hospital in Decatur, IL

Active since May 23, 2006
2300 N EDWARD ST, GSBLL, DECATUR, IL 62526(217) 876-2868(217) 876-2874 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 31, 2024, Jul 24, 2023, Nov 30, 2017 (3 updates tracked since 2017).

About Decatur Memorial Hospital NPPES

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

DECATUR MEMORIAL HOSPITAL (NPI 1164477725) is a healthcare organization registered as a general acute care hospital in Decatur, Illinois and active in the NPI registry since May 2006. The organization lists Drew Early, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164477725
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameDECATUR MEMORIAL HOSPITAL
Location Address2300 N EDWARD ST, GSBLLDecatur, IL 62526-4163
Mailing Address2300 N Edward StDecatur, IL 62526-4163 · (217) 876-2857 · Fax (217) 876-6485
Fax(217) 876-2874
Organization SubpartNo
Authorized OfficialDrew EarlyCeo · (217) 876-2114
Enumeration DateMay 23, 2006
Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1164477725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2300 N EDWARD ST, Decatur, IL 62526

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Decatur Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20031203000685Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

199

Medicare enrollment records show 199 clinicians reassign Medicare billing to Decatur Memorial Hospital, which bills Medicare for the services they deliver. Of these, 69 practice at this address and 125 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner39
Certified Registered Nurse Anesthetist (CRNA)34
Internal Medicine29
Family Practice18
Hospitalist14
Cardiovascular Disease (Cardiology)10
General Surgery9
Neurology5
20 other specialties41

Nearest to this location (20)

See all 199
Internal Medicine
NPI 1306459979
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-8121
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871161430
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-3660
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1083671911
2300 N EDWARD ST SUITE 2400
Decatur, IL 62526
(217) 876-2400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1568752137
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-8121
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1851366967
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-4200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245882448
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-3660
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1912634106
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-3660
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639354350
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-8121
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033366893
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-8121
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013663186
2300 N EDWARD ST STE 2400
Decatur, IL 62526
(217) 876-2400
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1033733787
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-2400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073356887
2300 N EDWARD ST STE 3200
Decatur, IL 62526
(217) 876-3660
✔ PECOSSame address
Hospitalist
NPI 1457880007
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-4200
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1588846588
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-8121
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1548235856
2300 N EDWARD ST STE 2400
Decatur, IL 62526
(217) 876-2400
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1902852916
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-2300
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1336427863
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-4200
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1194457556
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-3660
✔ PECOSSame address
General Surgery
NPI 1215390406
2300 N EDWARD ST
Decatur, IL 62526
(480) 522-8661
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1174821540
2 MEMORIAL DR STE 101
Decatur, IL 62526
(217) 876-2756
✔ PECOS✔ Accepts MedicareSame address
See all 199 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Decatur Memorial Hospital's NPI number?

The NPI number for Decatur Memorial Hospital is 1164477725. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Decatur Memorial Hospital located?

Decatur Memorial Hospital is located at 2300 N Edward St Gsbll, Decatur, IL 62526. The listed phone number is (217) 876-2868.

What is Decatur Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Decatur Memorial Hospital enrolled in Medicare?

Yes. Decatur Memorial Hospital is registered in the Medicare PECOS enrollment system.

When is Decatur Memorial Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Decatur Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 199 clinicians in 28 Medicare specialties reassign their Medicare billing to Decatur Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (39), Certified Registered Nurse Anesthetist (CRNA) (34) and Internal Medicine (29). Of these, 69 practice at this address and 125 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Decatur Memorial Hospital was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.