DANXUAN LONG MD
NPI 1205098738
Internal Medicine - Pulmonary Disease in Decatur, IL
About Danxuan Long Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANXUAN LONG MD (NPI 1205098738) is an individual pulmonary disease provider in Decatur, Illinois, licensed in Illinois (036128323) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Danxuan Long Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Danxuan Long reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, IL 62521
- Reassigned Medicare billing, Illinois enrollment
- 99 clinicians in this Medicare group
Pana, IL 62557
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Hshs Medical Group Inc
- 317 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 27
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Anthonys Memorial Hospital
Acute Care Hospitals · Effingham, ILSt Johns Hospital
Acute Care Hospitals · Springfield, ILDecatur Memorial Hospital
Acute Care Hospitals · Decatur, ILSt Marys Hospital
Acute Care Hospitals · Decatur, ILHshs Good Shepherd Hospital Inc
Critical Access Hospitals · Shelbyville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 37
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, IL 62521
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 Danxuan Long's NPI number?
The NPI number for Danxuan Long is 1205098738. It was assigned to this individual provider in the NPPES registry on June 26, 2008.
Where is Danxuan Long located?
Danxuan Long practices at 1730 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 464-1350.
What is Danxuan Long's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Danxuan Long enrolled in Medicare?
Yes. Danxuan Long 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.
Which organizations bill Medicare for Danxuan Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danxuan Long reassigns Medicare benefits to 2 organizations: Cep America Illinois Intensivists (Decatur, IL) and Sjl Health Systems Inc (Pana, IL). Each 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 Danxuan Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Danxuan Long accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Danxuan Long 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 Danxuan Long affiliated with any hospitals?
According to CMS data, Danxuan Long is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, Decatur Memorial Hospital, St Marys Hospital and Hshs Good Shepherd Hospital Inc.
When was this NPI record last updated?
The NPPES record for Danxuan Long was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.