CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C.
NPI 1518993930
Family Medicine in Effingham, IL

Active since June 25, 2006CLIA 14D0947189 · Waiver
901 N MAPLE ST, EFFINGHAM, IL 62401(217) 347-2900(217) 347-2922 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Consolidated Community Medical Centers, S.c. NPPES

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

CONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C. (NPI 1518993930) is a healthcare organization registered as a family medicine in Effingham, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Dominic Charles Imburgia, President, as its authorized official.

NPPES Registry Identity

NPI1518993930
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONSOLIDATED COMMUNITY MEDICAL CENTERS, S.C.
Location Address901 N MAPLE STEffingham, IL 62401-6401
Mailing Address901 N Maple StEffingham, IL 62401-6401 · (217) 347-2900 · Fax (217) 347-2922
Fax(217) 347-2922
Organization SubpartYes
Authorized OfficialDominic Charles ImburgiaPresident · (217) 347-2900
Enumeration DateJune 25, 2006
Last NPPES UpdateAugust 14, 2007
✔ NPI 1518993930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
901 N MAPLE ST, Effingham, IL 62401

Other Identifiers 2

Medicare PIN208154IL
Other08726591IL · Bcbs

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Consolidated Community Medical Centers, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Consolidated Community Medical Centers, S.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1518281757
1029 N 8TH ST
Vandalia, IL 62471
(618) 283-4469
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1699366252
1701 CURTIS RD
Champaign, IL 61822
(217) 365-2851
✔ PECOS✔ Accepts Medicare67 mi

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

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 14D0947189

Consolidated Community Medical Ctrs Sc · Effingham, IL
Active · expires Jun 9, 2028
CLIA Number14D0947189
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorDominic C. Imburgia
Laboratory Phone(217) 347-2900
Laboratory LocationConsolidated Community Medical Ctrs Sc901 North Maple, Effingham, IL 62401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Consolidated Community Medical Centers, S.C.'s NPI number?

The NPI number for Consolidated Community Medical Centers, S.C. is 1518993930. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Consolidated Community Medical Centers, S.C. located?

Consolidated Community Medical Centers, S.C. is located at 901 N Maple St, Effingham, IL 62401. The listed phone number is (217) 347-2900.

What is Consolidated Community Medical Centers, S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Consolidated Community Medical Centers, S.C. enrolled in Medicare?

Yes. Consolidated Community Medical Centers, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Consolidated Community Medical Centers, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Consolidated Community Medical Centers, S.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Consolidated Community Medical Centers, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0947189) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Consolidated Community Medical Centers, S.C. was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.