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ELDORADO EMERGENCY GROUP PC
NPI 1235868191
Emergency Medicine in Eldorado, IL

Active since June 07, 2022
1201 PINE ST, ELDORADO, IL 62930(618) 273-3361(618) 273-2571 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eldorado Emergency Group Pc NPPES

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

ELDORADO EMERGENCY GROUP PC (NPI 1235868191) is a healthcare organization registered as an emergency medicine in Eldorado, Illinois and active in the NPI registry since June 2022. The organization lists Christopher P Lipsmeyer, Director, as its authorized official.

NPPES Registry Identity

NPI1235868191
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameELDORADO EMERGENCY GROUP PC
Location Address1201 PINE STEldorado, IL 62930-1634
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(618) 273-3361
Fax(618) 273-2571
Organization SubpartNo
Authorized OfficialChristopher P LipsmeyerDirector · (337) 609-1221
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1235868191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1201 PINE ST, Eldorado, IL 62930
Open in Google Maps ↗

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)

Eldorado Emergency Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Eldorado Emergency Group PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Emergency Medicine8
Nurse Practitioner7
Internal Medicine6
Family Practice4

Nearest to this location (20)

See all 25
Meghan Mitchell, FNP
Nurse Practitioner
NPI 1346711553
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts MedicareSame address
Melissa Welge, DNP, FNP-C
Nurse Practitioner
NPI 1962028407
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts MedicareSame address
Susan Sigler, FNP
Nurse Practitioner
NPI 1063885101
1407 LOCUST ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare0.2 mi
Brandon Edwards, NP-C
Nurse Practitioner
NPI 1245840636
1600 CROSSROAD SCHOOL RD
Eldorado, IL 62930
(618) 499-2941
✔ PECOS✔ Accepts Medicare2.5 mi
Michael Davenport, FNP
Nurse Practitioner
NPI 1295789576
206 S WASHINGTON ST
Mc Leansboro, IL 62859
(618) 643-2835
✔ PECOS✔ Accepts Medicare20 mi
Clinton Mohr, M.D.
Internal Medicine
NPI 1356427736
1008 W CHERRY ST STE D
Marion, IL 62959
(618) 997-2396
✔ PECOS✔ Accepts Medicare28 mi
Mark Rotich, M.D.
Internal Medicine
NPI 1659393601
1401 DANIELLE CT
Marion, IL 62959
(618) 751-7373
✔ PECOS✔ Accepts Medicare28 mi
Syed Jafri, MD
Internal Medicine
NPI 1942226949
3333 W DEYOUNG ST
Marion, IL 62959
(618) 998-7492
✔ PECOS✔ Accepts Medicare30 mi
Ryan Leonberger, NP
Nurse Practitioner
NPI 1134068240
3329 W DEYOUNG ST
Marion, IL 62959
(618) 997-2161
✔ PECOS✔ Accepts Medicare32 mi
Pak Fung, M.D.
Emergency Medicine
NPI 1265487870
405 W JACKSON ST
Carbondale, IL 62901
(618) 549-0721
✔ PECOS✔ Accepts Medicare43 mi
Gerald Mcclallen, D.O.
Emergency Medicine
NPI 1285686709
2 S HOSPITAL DR
Murphysboro, IL 62966
(618) 684-3156
✔ PECOS✔ Accepts Medicare43 mi
Terry Perkins, M.D.
Family Practice
NPI 1679552681
1808 SHERMAN DR
Princeton, IN 47670
(812) 385-3401
✔ PECOS✔ Accepts Medicare60 mi
Michael Mandis, MD
Internal Medicine
NPI 1821065764
2236 VADALABENE DR SUITE 2
Maryville, IL 62062
(618) 288-6136
✔ PECOS✔ Accepts Medicare103 mi
Syed Naseeruddin, MD
Family Practice
NPI 1760599575
137 VILLAGE WAY
Clarksville, TN 37043
(615) 229-5579
✔ PECOS✔ Accepts Medicare112 mi
Joshua Hastie, MD
Family Practice
NPI 1447545686
1513 N 6TH 1/2 ST
Terre Haute, IN 47807
(812) 238-7631
✔ PECOS✔ Accepts Medicare128 mi
William Boston, M.D.
Emergency Medicine
NPI 1215971197
701 N 1ST ST
Springfield, IL 62781
(217) 788-3156
✔ PECOS✔ Accepts Medicare152 mi
Kristen Ferguson, M.D.
Emergency Medicine
NPI 1750308227
350 W CARPENTER ST
Springfield, IL 62702
(217) 528-7541
✔ PECOS✔ Accepts Medicare152 mi
Chinedu Maduakolam, MD
Internal Medicine
NPI 1114912557
6865 PARKDALE PL SUITE A
Indianapolis, IN 46254
(317) 291-1211
✔ PECOS✔ Accepts Medicare181 mi
John Levine, MD
Emergency Medicine
NPI 1881694990
2401 W UNIVERSITY AVE
Muncie, IN 47303
(765) 747-4236
✔ PECOS231 mi
Faisal Lala, D.O.
Family Practice
NPI 1205965787
608 N KEY AVE
Lampasas, TX 76550
(536) 821-2556
✔ PECOS✔ Accepts Medicare725 mi
See all 25 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 Eldorado Emergency Group PC's NPI number?

The NPI number for Eldorado Emergency Group PC is 1235868191. It was assigned to this organization in the NPPES registry on June 7, 2022.

Where is Eldorado Emergency Group PC located?

Eldorado Emergency Group PC is located at 1201 Pine St, Eldorado, IL 62930. The listed phone number is (618) 273-3361.

What is Eldorado Emergency Group PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Eldorado Emergency Group PC enrolled in Medicare?

Yes. Eldorado Emergency Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eldorado Emergency Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 4 Medicare specialties reassign their Medicare billing to Eldorado Emergency Group PC. 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 Emergency Medicine (8), Nurse Practitioner (7) and Internal Medicine (6). Of these, 2 practice at this address and 4 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 Eldorado Emergency Group PC was last updated on June 7, 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.