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DR. SEEMA GARG
NPI 1356369235
Pediatrics in Charleston, IL

Active since July 18, 2006PECOS Enrolled
116 W BUCHANAN AVE, CHARLESTON, IL 61920(217) 345-7700(217) 345-7200 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2023, Jul 13, 2021, Mar 18, 2016 (3 updates tracked since 2016).

About Dr. Seema Garg NPPES

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

DR. SEEMA GARG (NPI 1356369235) is an individual pediatrics provider in Charleston, Illinois, licensed in Illinois (036099042) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356369235
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SEEMA GARG
Location Address116 W BUCHANAN AVECharleston, IL 61920-2522
Mailing AddressPo Box 372Mattoon, IL 61938-0372 · (217) 868-2812
Phone(217) 345-7700
Fax(217) 345-7200
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1356369235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036099042
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 01058542 (IN)
116 W BUCHANAN AVE, Charleston, IL 61920
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1215 S Hutchinson AveMuncie, IN 47303-4774 · Phone (765) 716-4995 · Fax (765) 587-4681
Location 262 N Ayer St Ste AandbHarvard, IL 60033-2870 · Phone (815) 943-4339

Other Identifiers 1

Medicaid200465710IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Seema Garg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Seema Garg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sarah Bush Lincoln Health Center
4.9 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525
Community Health Partnership Of Illinois
45 mi
Federally Qualified Health Center (FQHC)
21 WEST KENYON ROAD
Urbana, IL 61820
  • Reassigned Medicare billing, Illinois enrollment
  • 39 clinicians in this Medicare group
NPI 1396154076 (217) 893-3052
Rockford Health Physicians
200 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61920 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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.

JOAN V ALVARADO MD
Family Medicine
116 W BUCHANAN AVE
CHARLESTON, IL 61920
Coles County (217) 345-7700
ERICA DAVIS PERRINO M.D.
Family Medicine
116 W BUCHANAN AVE
CHARLESTON, IL 61920
Coles County (217) 345-7700
MARK EMENECKER D.O.
Family Medicine
116 W BUCHANAN AVE
CHARLESTON, IL 61920
Coles County (217) 345-7700
DR. SANJAY K GARG M.B.B.S
Pediatrics
116 W BUCHANAN AVE
CHARLESTON, IL 61920
Coles County (217) 345-7700

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 Seema Garg's NPI number?

The NPI number for Seema Garg is 1356369235. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Seema Garg located?

Seema Garg practices at 116 W Buchanan Ave, Charleston, IL 61920. The listed phone number is (217) 345-7700.

What is Seema Garg's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Seema Garg enrolled in Medicare?

Yes. Seema Garg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Seema Garg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seema Garg reassigns Medicare benefits to 3 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL), Community Health Partnership Of Illinois (Urbana, IL) and Rockford Health Physicians (Rockford, IL). Each 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 Seema Garg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seema Garg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Cigna Healthcare list Seema Garg 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 Seema Garg was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.