SEBASTIEN SIMON KAIROUZ M.D.
NPI 1396701009
Internal Medicine - Hematology & Oncology in Decatur, IL

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
77.67/100
CMS Quality Rating
210 W MCKINLEY AVE, SUITE 1, DECATUR, IL 62526(217) 877-9442(217) 233-1670 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sebastien Simon Kairouz M.d. NPPES

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

SEBASTIEN SIMON KAIROUZ M.D. (NPI 1396701009) is an individual hematology & oncology provider in Decatur, Illinois, licensed in Illinois (036128725) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1396701009
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSEBASTIEN SIMON KAIROUZCredential: M.D.
Location Address210 W MCKINLEY AVE, SUITE 1Decatur, IL 62526-5858
Mailing Address210 W Mckinley Ave, Suite 1Decatur, IL 62526-5858 · (217) 877-9442 · Fax (217) 233-1670
Fax(217) 233-1670
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 21, 2006
Last NPPES UpdateFebruary 12, 2014
NPI 1396701009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in IL · 036128725 Licensed in MD · D0067931
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

Other Identifiers 3

Medicare UPINH87533
Medicare ID-Type Unspecified005561608
Medicaid218702700MD

Accepted 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

Sebastien Simon Kairouz M.d. 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 ID1850484163
PECOS Enrollment IDI20111206000425
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 79

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
80,250 services47 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
20,500 services136 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,620 services29 patients
Injection, aprepitant, 1 mg J0185
Aprepitant injection is a medication used to prevent nausea and vomiting caused by chemotherapy. It works by blocking certain substances in the brain that trigger these symptoms. The dosage is based on your medical condition and response to treatment.
4,160 services12 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
3,799 services43 patients
Injection, ondansetron hydrochloride, per 1 mg J2405
Ondansetron hydrochloride is a medication given via injection to help prevent nausea and vomiting, often due to chemotherapy or surgery. It works by blocking certain chemicals in the body that trigger these symptoms.
3,204 services44 patients

Hospital Affiliations CMS Care Compare 3

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

Kirby Medical Center

Critical Access Hospitals · Monticello, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141301
Location1000 Medical Center DriveMonticello, IL 61856 · Piatt County
Emergency services

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.39
Promoting Interoperability83
Improvement Activities40
Cost52.7

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Medical Oncology)
210 W MCKINLEY AVE, SUITE 1
DECATUR, IL 62526
Pharmacy (Community/Retail Pharmacy)
210 W MCKINLEY AVE, SUITE 6
DECATUR, IL 62526
Nurse Practitioner
210 W MCKINLEY AVE
DECATUR, IL 62526
Pharmacist
210 W MCKINLEY AVE, STE 1
DECATUR, IL 62526
Internal Medicine (Medical Oncology)
210 W MCKINLEY AVE, SUITE 1
DECATUR, IL 62526
Internal Medicine (Hematology & Oncology)
210 W MCKINLEY AVE, SUITE 1
DECATUR, IL 62526

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 Sebastien Kairouz's NPI number?

The NPI number for Sebastien Kairouz is 1396701009. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Sebastien Kairouz located?

Sebastien Kairouz practices at 210 W Mckinley Ave Suite 1, Decatur, IL 62526. The listed phone number is (217) 877-9442.

What is Sebastien Kairouz's specialty?

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

Is Sebastien Kairouz enrolled in Medicare?

Yes. Sebastien Kairouz 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 Sebastien Kairouz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sebastien Kairouz 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 Sebastien Kairouz affiliated with any hospitals?

According to CMS data, Sebastien Kairouz is affiliated with Decatur Memorial Hospital, St Marys Hospital and Kirby Medical Center.

When was this NPI record last updated?

The NPPES record for Sebastien Kairouz was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.