MEMORIAL MEDICAL GROUP, LLC
NPI 1235474057
Internal Medicine in Belleville, IL

Q: What is Memorial Medical Group, LLC's NPI number?

The NPI number for Memorial Medical Group, LLC is 1235474057. It was assigned to this organization in the NPPES registry on December 5, 2012.

Q: What is Memorial Medical Group, LLC's specialty?

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

Active since December 05, 2012

4550 MEMORIAL DR, STE. 340, BELLEVILLE, IL 62226(618) 257-6302(618) 257-4838 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Memorial Medical Group, Llc NPPES

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

MEMORIAL MEDICAL GROUP, LLC (NPI 1235474057) is a healthcare organization registered as an internal medicine in Belleville, Illinois and active in the NPI registry since December 2012. The organization lists James B. Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1235474057

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMEMORIAL MEDICAL GROUP, LLC

Location Address4550 MEMORIAL DR, STE. 340Belleville, IL 62226-5372

Mailing Address4550 Memorial Dr, Ste. 340Belleville, IL 62226-5372 · (618) 257-6302 · Fax (618) 257-4838

Phone(618) 257-6302

Fax(618) 257-4838

Organization SubpartNo

Authorized OfficialJames B. DavisExecutive Director · (618) 257-6302

Enumeration DateDecember 5, 2012

✔ NPI 1235474057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedUrologyTaxonomy 208800000X

4550 MEMORIAL DR, Belleville, IL 62226

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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

Other Providers at the Same Location NPPES 20

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

MRS. DEANNA L. RODENBERG NP

Nurse Practitioner

4550 MEMORIAL DR, STE. 340
BELLEVILLE, IL 62226

St. Clair County (618) 257-6200

SHEIKH M SADIQ MD

Psychiatry & Neurology (Neurology)

4550 MEMORIAL DR, SUITE 340
BELLEVILLE, IL 62226

St. Clair County (618) 257-4243

DR. DWIGHT WILLIAM O'DELL M.D.

Obstetrics & Gynecology (Gynecology)

4550 MEMORIAL DR, STE 200
BELLEVILLE, IL 62226

St. Clair County (618) 233-5998

BELLEVILLE ORTHOPEDICS, P.C.

Specialist

4550 MEMORIAL DR, SUITE 460
BELLEVILLE, IL 62226

St. Clair County (618) 235-2900

MSA ALLIANCE, LLC

Urology

4550 MEMORIAL DR, STE 350
BELLEVILLE, IL 62226

St. Clair County (618) 239-9690

LAKSHMI R. BEERAVOLU MD

Psychiatry & Neurology (Clinical Neurophysiology)

4550 MEMORIAL DR, STE. A480
BELLEVILLE, IL 62226

St. Clair County (618) 234-4531

CA GROUP, LLC

Internal Medicine (Cardiovascular Disease)

4550 MEMORIAL DR, STE 310
BELLEVILLE, IL 62226

St. Clair County (618) 257-6112

PC ASSOCIATES, LLC

Family Medicine

4550 MEMORIAL DR, STE 180
BELLEVILLE, IL 62226

St. Clair County (618) 235-8282

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 Memorial Medical Group, LLC's NPI number?

The NPI number for Memorial Medical Group, LLC is 1235474057. It was assigned to this organization in the NPPES registry on December 5, 2012.

Where is Memorial Medical Group, LLC located?

Memorial Medical Group, LLC is located at 4550 Memorial Dr Ste. 340, Belleville, IL 62226. The listed phone number is (618) 257-6302.

What is Memorial Medical Group, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Memorial Medical Group, LLC was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.