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LEIDHY MARIANA MONTECINOS MD
NPI 1336875392
Student in an Organized Health Care Education/Training Program in Forsyth, IL

Active since August 01, 2022PECOS EnrolledAccepts Medicare Assignment
241 W WEAVER RD STE 210, FORSYTH, IL 62535(217) 876-5600(217) 876-5664 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, Aug 1, 2022 (2 updates tracked since 2022).

About Leidhy Mariana Montecinos Md NPPES

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

LEIDHY MARIANA MONTECINOS MD (NPI 1336875392) is an individual student in an organized health care education/training program in Forsyth, Illinois and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336875392
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLEIDHY MARIANA MONTECINOSCredential: MD
Location Address241 W WEAVER RD STE 210Forsyth, IL 62535-9769
Mailing Address241 W Weaver Rd Ste 210Forsyth, IL 62535-9769 · (217) 876-5600 · Fax (217) 876-5664
Phone(217) 876-5600
Fax(217) 876-5664
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 1, 2022
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1336875392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036175298 (IL)
241 W WEAVER RD STE 210, Forsyth, IL 62535
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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leidhy Mariana Montecinos 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 ID7416464730
PECOS Enrollment IDI20250730001664
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.

Medicare Billing Reassignment

Medicare enrollment records show Leidhy Montecinos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Decatur Memorial Hospital
3.9 mi
General Acute Care Hospital
2300 N EDWARD ST, GSBLL
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1164477725 (217) 876-2868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

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 Leidhy Montecinos's NPI number?

The NPI number for Leidhy Montecinos is 1336875392. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Leidhy Montecinos located?

Leidhy Montecinos practices at 241 W Weaver Rd Ste 210, Forsyth, IL 62535. The listed phone number is (217) 876-5600.

What is Leidhy Montecinos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Leidhy Montecinos enrolled in Medicare?

Yes. Leidhy Montecinos 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.

Which organization bills Medicare for Leidhy Montecinos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leidhy Montecinos reassigns Medicare benefits to Decatur Memorial Hospital (Decatur, IL). The 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 Leidhy Montecinos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Leidhy Montecinos affiliated with any hospitals?

According to CMS data, Leidhy Montecinos is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Leidhy Montecinos was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.