ILLINI FAMILY MEDICINE
NPI 1255880647
Clinic/Center - Federally Qualified Health Center (FQHC) in Belleville, IL
About Illini Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILLINI FAMILY MEDICINE (NPI 1255880647) is a healthcare organization registered as a federally qualified health center (fqhc) in Belleville, Illinois and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Larry Mcculley, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Illini Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
164Medicare enrollment records show 164 clinicians reassign Medicare billing to Illini Family Medicine, which bills Medicare for the services they deliver. Of these, 73 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 164Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0698997
Illini Family Medicine · Belleville, ILFrequently 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 Southern Illinois Healthcare Foundation, Inc.'s NPI number?
The NPI number for Southern Illinois Healthcare Foundation, Inc. is 1255880647. It was assigned to this organization in the NPPES registry on September 26, 2016. The provider is doing business as Illini Family Medicine.
Where is Southern Illinois Healthcare Foundation, Inc. located?
Southern Illinois Healthcare Foundation, Inc. is located at 2900 Frank Scott Pkwy W Suite 980, Belleville, IL 62223. The listed phone number is (618) 397-3303.
What is Southern Illinois Healthcare Foundation, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Southern Illinois Healthcare Foundation, Inc. enrolled in Medicare?
Yes. Southern Illinois Healthcare Foundation, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Illinois Healthcare Foundation, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 164 clinicians in 15 Medicare specialties reassign their Medicare billing to Southern Illinois Healthcare Foundation, Inc.. 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 Nurse Practitioner (57), Family Practice (43) and Internal Medicine (16). Of these, 73 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Illinois Healthcare Foundation, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0698997) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Illinois Healthcare Foundation, Inc. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Southern Illinois Healthcare Foundation, Inc. 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.
When was this NPI record last updated?
The NPPES record for Southern Illinois Healthcare Foundation, Inc. was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Illini Family Medicine · NPI 1255880647
Federally Qualified Health Center (FQHC) organization in Belleville, Illinois. Organization record, active in the CMS NPPES registry since September 26, 2016.
## Identity
- **NPI:** 1255880647 (Entity type: Organization)
- **Enumerated:** September 26, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Southern Illinois Healthcare Foundation, Inc.
- **Organization subpart:** No
- **Authorized official:** Larry Mcculley, CEO
## Practice location
- **Address:** 2900 FRANK SCOTT PKWY W, SUITE 980, Belleville, IL 62223-5000
- **Phone:** (618) 397-3303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 164 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (57), Family Practice (43), Internal Medicine (16); 73 practice within 10 miles; [full list](https://npiprofile.com/npi/1255880647/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255880647) · Data from the CMS NPPES public registry.