CARLINVILLE MEDICAL CLINIC, INC.
NPI 1518285295
Internal Medicine in Carlinville, IL

Active since May 05, 2010CLIA 41D0719301 · Waiver
604 N BROAD ST, CARLINVILLE, IL 62626(217) 854-9411(217) 854-2858 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carlinville Medical Clinic, Inc. NPPES

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

CARLINVILLE MEDICAL CLINIC, INC. (NPI 1518285295) is a healthcare organization registered as an internal medicine in Carlinville, Illinois and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Margie Busby, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1518285295
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCARLINVILLE MEDICAL CLINIC, INC.
Location Address604 N BROAD STCarlinville, IL 62626-1021
Mailing Address604 N BroadCarlinville, IL 62626-1608 · (217) 854-9411 · Fax (217) 854-2858
Fax(217) 854-2858
Organization SubpartYesParent: Carlinville Medical Clinic
Authorized OfficialMargie BusbyOffice Manager · (217) 854-9411
Enumeration DateMay 5, 2010
Last NPPES UpdateAugust 8, 2022
NPPES CertifiedAugust 8, 2022
NPI 1518285295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036057724
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

604 N BROAD ST, Carlinville, IL 62626

Other Identifiers 1

Other5930138IL · Blue Cross/blue Shield

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D0719301

Carlinville Medical Clinic · Carlinville, IL
Active · expires Dec 12, 2026
CLIA Number41D0719301
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorKamal K. Chopra MD
Laboratory Phone(217) 854-9411
Laboratory LocationCarlinville Medical Clinic604 N Broad Street, Carlinville, IL 62626
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
604 N BROAD ST
CARLINVILLE, IL 62626
Family Medicine
604 N BROAD ST
CARLINVILLE, IL 62626

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 Carlinville Medical Clinic, Inc.'s NPI number?

The NPI number for Carlinville Medical Clinic, Inc. is 1518285295. It was assigned to this organization in the NPPES registry on May 5, 2010.

Where is Carlinville Medical Clinic, Inc. located?

Carlinville Medical Clinic, Inc. is located at 604 N Broad St, Carlinville, IL 62626. The listed phone number is (217) 854-9411.

What is Carlinville Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Carlinville Medical Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0719301) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carlinville Medical Clinic, Inc. was last updated on August 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.