IMPACT PHYSICIAN GROUP, ILLINOIS LLC
NPI 1467920124
Internal Medicine in Plano, IL
About Impact Physician Group, Illinois Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT PHYSICIAN GROUP, ILLINOIS LLC (NPI 1467920124) is a healthcare organization registered as an internal medicine in Plano, Illinois and active in the NPI registry since November 2018. The organization lists Paul Miller, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Impact Physician Group, Illinois Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Impact Physician Group, Illinois LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Impact Physician Group, Illinois LLC's NPI number?
The NPI number for Impact Physician Group, Illinois LLC is 1467920124. It was assigned to this organization in the NPPES registry on November 10, 2018.
Where is Impact Physician Group, Illinois LLC located?
Impact Physician Group, Illinois LLC is located at 115 E South St Ste F, Plano, IL 60545. The listed phone number is (630) 552-7166.
What is Impact Physician Group, Illinois LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Impact Physician Group, Illinois LLC enrolled in Medicare?
Yes. Impact Physician Group, Illinois LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Physician Group, Illinois LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Impact Physician Group, Illinois LLC. A 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 the clinician's services. The largest specialties are Internal Medicine (4), Nurse Practitioner (4) and Hospitalist (3). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Impact Physician Group, Illinois LLC was last updated on December 19, 2022. 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.
# Impact Physician Group, Illinois Llc · NPI 1467920124
Internal Medicine organization in Plano, Illinois. Organization record, active in the CMS NPPES registry since November 10, 2018.
## Identity
- **NPI:** 1467920124 (Entity type: Organization)
- **Enumerated:** November 10, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Paul Miller, CEO
## Practice location
- **Address:** 115 E SOUTH ST STE F, Plano, IL 60545-1595
- **Phone:** (630) 552-7166
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (4), Nurse Practitioner (4), Hospitalist (3); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1467920124) · Data from the CMS NPPES public registry.