MEMORIAL EXPRESSCARE AT CHATHAM
NPI 1316470651
Family Medicine in Springfield, IL

Active since April 04, 2017CLIA Certified · 2 labs
701 N 1ST ST, MAILBOX 95, SPRINGFIELD, IL 62781(800) 577-5368(217) 757-2021 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Memorial Expresscare At Chatham NPPES

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

MEMORIAL EXPRESSCARE AT CHATHAM (NPI 1316470651) is a healthcare organization registered as a family medicine in Springfield, Illinois and active in the NPI registry since April 2017. The organization holds 2 active CLIA laboratory certificates and lists James T Dowell, President Mps, as its authorized official.

NPPES Registry Identity

NPI1316470651
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEMORIAL PHYSICIAN SERVICES
Location Address701 N 1ST ST, MAILBOX 95Springfield, IL 62781-0001
Mailing Address701 N 1st St, Mailbox 95Springfield, IL 62781-0001 · (800) 577-5368 · Fax (217) 757-2021
Fax(217) 757-2021
Organization SubpartNo
Authorized OfficialJames T DowellPresident Mps · (217) 757-7716
Enumeration DateApril 4, 2017
✔ NPI 1316470651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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 ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
701 N 1ST ST, Springfield, IL 62781

Other Names 1

Doing Business AsMemorial Expresscare At Chatham

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Expresscare At Chatham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20040223000454Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

150

Medicare enrollment records show 150 clinicians reassign Medicare billing to Memorial Expresscare At Chatham, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 95 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner93
Family Practice26
Psychiatry10
Internal Medicine7
Pediatric Medicine5
Mental Health Counselor4
Orthopedic Surgery2
Clinical Social Worker1
2 other specialties2

Nearest to this location (20)

See all 150
Nurse Practitioner
NPI 1255563995
701 N 1ST ST MAILBOX 95
Springfield, IL 62781
(217) 243-0300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245897255
747 N RUTLEDGE ST FL 4
Springfield, IL 62702
(217) 545-8000
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1952927485
800 N 1ST ST
Springfield, IL 62702
(217) 528-7541
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1922195718
800 N 1ST STREET
Springfield, IL 62702
(217) 528-7541
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1497093264
701 N 1ST ST
Springfield, IL 62781
(217) 788-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1780099747
800 N 1ST ST
Springfield, IL 62702
(217) 528-7541
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1629299599
900 N 1ST ST
Springfield, IL 62702
(217) 528-7541
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1639561285
315 W CARPENTER ST 2ND FLOOR, CLINIC C
Springfield, IL 62702
(217) 545-8000
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1639390388
751 N RUTLEDGE ST SUITE 1100
Springfield, IL 62702
(217) 545-0182
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1275522666
520 N 4TH ST
Springfield, IL 62702
(217) 757-8100
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1891049276
800 E. CARPENTER ST.
Springfield, IL 62701
(217) 544-6464
✔ PECOS✔ Accepts Medicare0.6 mi
Psychiatry
NPI 1619230992
901 W JEFFERSON ST
Springfield, IL 62702
(217) 545-8229
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1689428294
415 N 9TH ST
Springfield, IL 62702
(217) 545-8000
✔ PECOS0.7 mi
Nurse Practitioner
NPI 1922609437
400 N 9TH ST
Springfield, IL 62702
(217) 545-8000
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1710527908
400 N 9TH ST
Springfield, IL 62702
(217) 545-8000
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1891241329
1025 S 6TH ST
Springfield, IL 62703
(217) 528-7541
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1225478027
2603 S 6TH ST
Springfield, IL 62703
(217) 528-0307
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1952566184
2950 S 6TH ST
Springfield, IL 62703
(217) 588-7450
✔ PECOS✔ Accepts Medicare3.3 mi
Emergency Medicine
NPI 1972716033
3220 ATLANTA ST
Springfield, IL 62707
(217) 588-7400
✔ PECOS✔ Accepts Medicare3.4 mi
Mental Health Counselor
NPI 1942396080
3132 OLD JACKSONVILLE RD
Springfield, IL 62704
(217) 862-0800
✔ PECOS✔ Accepts Medicare3.5 mi
See all 150 clinicians

Source: 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 2

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 14D1102655

Memorial Physician Services - South Sixth · Springfield, IL
Active · expires Jul 21, 2027
CLIA Number14D1102655
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorLydia S. Villafuerte
Laboratory Phone(217) 588-7450
Laboratory LocationMemorial Physician Services - South Sixth2950 S 6th St, Springfield, IL 62703
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D1102113

Memorial Physician Services - North Dirksen · Springfield, IL
Active · expires Jul 12, 2027
CLIA Number14D1102113
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorJoshua R. Ellison
Laboratory Phone(217) 588-7400
Laboratory LocationMemorial Physician Services - North Dirksen3220 Atlanta St, Springfield, IL 62707
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Physician Services's NPI number?

The NPI number for Memorial Physician Services is 1316470651. It was assigned to this organization in the NPPES registry on April 4, 2017. The provider is doing business as Memorial Expresscare At Chatham.

Where is Memorial Physician Services located?

Memorial Physician Services is located at 701 N 1st St Mailbox 95, Springfield, IL 62781. The listed phone number is (800) 577-5368.

What is Memorial Physician Services's specialty?

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

Is Memorial Physician Services enrolled in Medicare?

Yes. Memorial Physician Services is registered in the Medicare PECOS enrollment system.

When is Memorial Physician Services's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Memorial Physician Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 150 clinicians in 10 Medicare specialties reassign their Medicare billing to Memorial Physician Services. 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 (93), Family Practice (26) and Psychiatry (10). Of these, 1 practice at this address and 95 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Memorial Physician Services hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Memorial Physician Services accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Memorial Physician Services 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 Memorial Physician Services was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.