DR. ALFONSO E URDANETA MD
NPI 1225085590
Family Medicine in Nashville, IL

Q: What is Alfonso Urdaneta's NPI number?

The NPI number for Alfonso Urdaneta is 1225085590. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is Alfonso Urdaneta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alfonso Urdaneta was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment

705 SOUTH GRAND AVENUE, NASHVILLE, IL 62263(618) 327-2225(618) 327-2229 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Alfonso E Urdaneta Md NPPES

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

DR. ALFONSO E URDANETA MD (NPI 1225085590) is an individual family medicine provider in Nashville, Illinois, licensed in Illinois (036047128) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (1967).

NPPES Registry Identity

NPI1225085590

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ALFONSO E URDANETACredential: MD

Location Address705 SOUTH GRAND AVENUENashville, IL 62263-1534

Mailing Address3416 Hotze RoadSalem, IL 62881-6616 · (618) 548-1185

Phone(618) 327-2225

Fax(618) 327-2229

Sole ProprietorNo

Medical School CMSOtherGraduated 1967

Enumeration DateMay 30, 2006

Last NPPES UpdateNovember 3, 2009

✔ NPI 1225085590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036047128

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.

Also ListedSurgeryTaxonomy 208600000X · License 036047128 (IL)

705 SOUTH GRAND AVENUE, Nashville, IL 62263

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Other Identifiers 2

Medicare ID-Type UnspecifiedL79586IL

Medicare UPINCH2162

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

Dr. Alfonso E Urdaneta 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.

PECOS PAC ID5597807909

PECOS Enrollment IDI20100123000041

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.

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140034

Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County

Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Washington County Hospital

Critical Access Hospitals · Nashville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141308

Location705 S Grand AveNashville, IL 62263 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62263 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers18 claims24 services$5.22 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$17.71 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers23 claims23 services$107.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. MOHAMMED ZAHID SIDDIQUI MD

Internal Medicine (Medical Oncology)

705 SOUTH GRAND AVENUE
NASHVILLE, IL 62263

Washington County (618) 327-2225

MRS. ANDREA BRILES PA

Physician Assistant

705 SOUTH GRAND AVENUE
NASHVILLE, IL 62263

Washington County (611) 832-7823

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 Alfonso Urdaneta's NPI number?

The NPI number for Alfonso Urdaneta is 1225085590. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Alfonso Urdaneta located?

Alfonso Urdaneta practices at 705 South Grand Avenue, Nashville, IL 62263. The listed phone number is (618) 327-2225.

What is Alfonso Urdaneta's specialty?

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

Is Alfonso Urdaneta enrolled in Medicare?

Yes. Alfonso Urdaneta 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.

Is Alfonso Urdaneta affiliated with any hospitals?

According to CMS data, Alfonso Urdaneta is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center and Washington County Hospital.

When was this NPI record last updated?

The NPPES record for Alfonso Urdaneta was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.