DOLORES A ESTRADA-GARCIA MD
NPI 1316950033
Internal Medicine - Hematology & Oncology in Decatur, IL

Q: What is Dolores Estrada-garcia's NPI number?

The NPI number for Dolores Estrada-garcia is 1316950033. It was assigned to this individual provider in the NPPES registry on August 14, 2006. The provider is also known as Dolores Aquino Estrada M.D..

Q: What is Dolores Estrada-garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment

210 W. MCKINLEY AVE, SUITE 1, DECATUR, IL 62526(217) 876-6600(217) 876-6606 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dolores A Estrada-garcia Md NPPES

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

DOLORES A ESTRADA-GARCIA MD (NPI 1316950033) is an individual hematology & oncology provider in Decatur, Illinois, licensed in Illinois (036105214) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Saint Louis University School Of Medicine (1990).

NPPES Registry Identity

NPI1316950033

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameDOLORES A ESTRADA-GARCIACredential: MD

Location Address210 W. MCKINLEY AVE, SUITE 1Decatur, IL 62526

Mailing AddressPo Box 25228Decatur, IL 62525-5228 · (217) 329-3232 · Fax (217) 233-1670

Phone(217) 876-6600

Fax(217) 876-6606

Sole ProprietorYes

Medical School CMSSaint Louis University School Of MedicineGraduated 1990

Enumeration DateAugust 14, 2006

Last NPPES UpdateMay 30, 2024

NPPES CertifiedMay 30, 2024

✔ NPI 1316950033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in IL · 036105214

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

210 W. MCKINLEY AVE, Decatur, IL 62526

Open in Google Maps ↗

Other Names 1

Former Name (1)Dolores Aquino Estrada M.d.

Other Identifiers 1

Medicaid036105214IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dolores A Estrada-garcia 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 ID4981612470

PECOS Enrollment IDI20060324000253

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.

Areas of Expertise CMS Part B claims 31

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

151 services69 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

115 services56 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

93 services57 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

92 services60 patients

Gammaglobulin (immune system protein) measurement 82784

Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.

87 services24 patients

Lactate dehydrogenase (enzyme) level 83615

A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.

80 services61 patients

Measurement of immunoglobulin light chains 83521

Measurement of immunoglobulin light chains is a blood test that helps to detect and monitor certain disorders related to your immune system. It measures the levels of specific proteins, known as light chains, produced by your immune cells.

68 services28 patients

Red blood count, automated test 85045

An automated red blood count test is a routine lab procedure to measure the number of red blood cells in your blood. These cells carry oxygen throughout the body. The test helps assess overall health and detect conditions like anemia or polycythemia.

53 services33 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

43 services37 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

43 services37 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

42 services37 patients

Microscopic examination for white blood cells with manual cell count 85007

This is a lab test where a small sample of your blood is studied under a microscope. The goal is to count the number of white blood cells, which are crucial for your body's immune response. The count can help identify potential health issues.

42 services22 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

42 services22 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

41 services38 patients

Folic acid level, serum 82746

A Folic Acid Level, Serum test measures the amount of folic acid, a type of B vitamin, in your blood. This vitamin is important for cell growth and development. It's crucial for your body to function well. If your levels are low, it may indicate a deficiency, which can lead to health issues.

40 services38 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

32 services31 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

30 services30 patients

Beta-2 microglobulin (protein) level 82232

The Beta-2 microglobulin level test measures the amount of this protein in your blood. It's often used to check kidney function or monitor certain cancers. High levels may indicate a health issue. The test involves a simple blood draw.

27 services23 patients

Haptoglobin (serum protein) level 83010

The Haptoglobin level test measures the amount of haptoglobin, a protein made by the liver, in your blood. This test is often used to check for conditions that cause the breakdown of red blood cells. Lower levels may indicate hemolytic anemia, while higher levels can suggest inflammation.

27 services25 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

24 services20 patients

Red blood cell sedimentation rate, to detect inflammation, non-automated 85651

The Red Blood Cell Sedimentation Rate test measures how quickly red blood cells settle at the bottom of a test tube. If they settle faster than normal, it may indicate inflammation in the body. This test is non-automated, meaning it's manually performed by a lab technician.

24 services22 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

22 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services15 patients

Stool analysis for blood, by peroxidase activity 82272

A stool analysis for blood, by peroxidase activity, is a test to detect blood in your stool. This test helps identify bleeding in the digestive tract. It involves collecting a stool sample, which is then checked for the presence of blood using a chemical reaction.

19 services19 patients

Carcinoembryonic antigen (cea) protein level 82378

Carcinoembryonic Antigen (CEA) protein level is a blood test often used in cancer care. It measures the amount of CEA protein in your blood, which can increase in cases of certain types of cancer. It's used to monitor treatment progress and check for cancer recurrence.

17 services14 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

15 services13 patients

Erythropoietin (protein) level 82668

Erythropoietin level is a blood test that measures the amount of erythropoietin (a protein) in your body. This protein helps in the production of red blood cells. The test aids in diagnosing conditions related to red blood cells, like anemia or polycythemia.

14 services14 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

14 services12 patients

Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 86300

This is a blood test that measures the level of CA 15-3, a protein often higher in individuals with certain types of cancer. It helps monitor response to treatment and check for cancer recurrence. It's not a standalone diagnostic test but used alongside other evaluations.

14 services11 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140135

Location2300 North Edward StreetDecatur, IL 62526 · Macon County

Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140166

Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 4

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

KRISTI M TOENNIES NP

Nurse Practitioner

210 W. MCKINLEY AVE, STE 1
DECATUR, IL 62526

Macon County (217) 876-6600

MRS. MARY ANNE DEPAZ MD

Radiology (Radiation Oncology)

210 W. MCKINLEY AVE, STE 2
DECATUR, IL 62526

Macon County (217) 876-6600

MR. EDWARD C ELLIOTT II MD

Radiology (Radiation Oncology)

210 W. MCKINLEY AVE, STE 1
DECATUR, IL 62526

Macon County (217) 876-6600

JAMES L WADE III M.D.

Internal Medicine (Medical Oncology)

210 W. MCKINLEY AVE, STE 1
DECATUR, IL 62526

Macon County (217) 876-6600

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 Dolores Estrada-garcia's NPI number?

The NPI number for Dolores Estrada-garcia is 1316950033. It was assigned to this individual provider in the NPPES registry on August 14, 2006. The provider is also known as Dolores Aquino Estrada M.D..

Where is Dolores Estrada-garcia located?

Dolores Estrada-garcia practices at 210 W. Mckinley Ave Suite 1, Decatur, IL 62526. The listed phone number is (217) 876-6600.

What is Dolores Estrada-garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Dolores Estrada-garcia enrolled in Medicare?

Yes. Dolores Estrada-garcia 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.

What insurance does Dolores Estrada-garcia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Dolores Estrada-garcia 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.

Is Dolores Estrada-garcia affiliated with any hospitals?

According to CMS data, Dolores Estrada-garcia is affiliated with Decatur Memorial Hospital and St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Dolores Estrada-garcia was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.