AMIRA ELMAGBARI M.D, MSC
NPI 1427312875
Internal Medicine - Endocrinology, Diabetes & Metabolism in Springfield, IL


Quality Rating: 94.1 out of 100 score

NPI Status: Active since June 30, 2012

Contact Information

751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000
Fax: (217) 545-9125

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  • Individual
  • Female
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism
  • Accepts Insurance

About AMIRA ELMAGBARI

This page provides the complete NPI Profile along with additional information for Amira Elmagbari, an internist established in Springfield, Illinois with a medical specialization in Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1427312875 assigned on June 2012. The practitioner's primary taxonomy code is 207RE0101X with license number 036170555 (IL). The provider is registered as an individual and her NPI record was last updated February 2026.

NPI
1427312875
Provider Name
AMIRA ELMAGBARI M.D, MSC
Gender
Female
Entity Type
Individual
Location Address
751 N RUTLEDGE ST STE 1700 SPRINGFIELD, IL 62702
Location Phone
(217) 545-8000
Location Fax
(217) 545-9125
Mailing Address
PO BOX 19648 SPRINGFIELD, IL 62794
Mailing Phone
(217) 545-8000
Mailing Fax
(217) 545-9125
Is Sole Proprietor?
No
Enumeration Date
06-30-2012
Last Update Date
02-25-2026
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An internist like Amira Elmagbari is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 800 Garfield Ave
    Parkersburg, WV 26101
    (304) 422-0405
  • 22 Hartford St
    Houlton, ME 04730
    (207) 532-4068

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License No.
036170555
License State
IL
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

30154 (WV)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

MD20534 (ME)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 439 times for 177 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 149 times for 72 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 141 times for 133 patients

Hospital observation care on day of discharge

Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.

This service was performed 12 times for 12 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 50 times for 49 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 28 times for 28 patients

Initial hospital observation care per day, typically 50 minutes

Initial hospital observation care is a service where healthcare professionals monitor your health for about 50 minutes daily. This helps them understand your condition better, plan treatment, and ensure your safety. It's a routine part of hospital care.

This service was performed 16 times for 16 patients

Test for exercise-induced lung stress

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

This service was performed 19 times for 19 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.1, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 94.1 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 78.46

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427312875, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 6 + 1 + 4 + 8 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1427312875.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Gerontology)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Psychiatry & Neurology (Psychiatry)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Endocrinology, Diabetes & Metabolism)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Endocrinology, Diabetes & Metabolism)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Health Educator
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Critical Care Medicine)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Endocrinology, Diabetes & Metabolism)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Nurse Practitioner (Gerontology)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Endocrinology, Diabetes & Metabolism)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702
Internal Medicine (Endocrinology, Diabetes & Metabolism)
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL 62702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427312875, enumerated as an "individual" on June 30, 2012.

The provider is located at 751 N RUTLEDGE ST STE 1700 SPRINGFIELD, IL 62702 and the phone number is (217) 545-8000.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.