NOLASCO MEDICAL GROUP, PLLC
NPI 1184235905
Internal Medicine in Springfield, IL

Active since August 14, 2020
2317 S BATES AVE, SPRINGFIELD, IL 62704(866) 477-7472(217) 717-2268 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2020, Aug 18, 2020, Aug 14, 2020 (3 updates tracked since 2020).

About Nolasco Medical Group, Pllc NPPES

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

NOLASCO MEDICAL GROUP, PLLC (NPI 1184235905) is a healthcare organization registered as an internal medicine in Springfield, Illinois and active in the NPI registry since August 2020. The organization lists Carlos Ernesto Nolasco Morales, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1184235905
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNOLASCO MEDICAL GROUP, PLLC
Location Address2317 S BATES AVESpringfield, IL 62704-4337
Mailing Address2317 S Bates AveSpringfield, IL 62704-4337 · (866) 477-7472 · Fax (217) 717-2268
Fax(217) 717-2268
Organization SubpartNo
Authorized OfficialCarlos Ernesto Nolasco MoralesPresident And Ceo · (866) 477-7472
Enumeration DateAugust 14, 2020
Last NPPES UpdateDecember 1, 20203 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1184235905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedInternal Medicine · Hypertension SpecialistTaxonomy 207RH0005X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2317 S BATES AVE, Springfield, IL 62704

Other Identifiers 1

OtherF100698048IL · 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nolasco Medical Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nolasco Medical Group, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1235484866
2317 S BATES AVE
Springfield, IL 62704
(866) 477-7472
✔ PECOS✔ Accepts MedicareSame address

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 Nolasco Medical Group, PLLC's NPI number?

The NPI number for Nolasco Medical Group, PLLC is 1184235905. It was assigned to this organization in the NPPES registry on August 14, 2020.

Where is Nolasco Medical Group, PLLC located?

Nolasco Medical Group, PLLC is located at 2317 S Bates Ave, Springfield, IL 62704. The listed phone number is (866) 477-7472.

What is Nolasco Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nolasco Medical Group, PLLC enrolled in Medicare?

Yes. Nolasco Medical Group, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nolasco Medical Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Nolasco Medical Group, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nolasco Medical Group, PLLC was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.