AHS IL MEDICAL GROUP LLC
NPI 1659098101
Clinic/Center in Granite City, IL

NPI Status: Active since October 25, 2022

Contact Information

2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
Phone: (818) 666-0602

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 14D1047387
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-02-2025

About AHS IL MEDICAL GROUP LLC

This page provides the complete NPI Profile along with additional information for Ahs Il Medical Group Llc, a provider established in Granite City, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1659098101 assigned on October 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Jonathan E Burket (Compliance)

NPI
1659098101
Provider Name
AHS IL MEDICAL GROUP LLC
Entity Type
Organization
Location Address
2100 MADISON AVE GRANITE CITY, IL 62040
Location Phone
(818) 666-0602
Mailing Address
4273 S STATE ROUTE 159 GLEN CARBON, IL 62034
Mailing Phone
(186) 288-2297
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2022
Last Update Date
10-12-2023
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Location Map

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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

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

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JONATHAN E BURKET

Authorized Official Title
COMPLIANCE
Authorized Official Phone
(818) 666-0602

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D1047387
Facility Type
Physician Office
Certificate Effective Date
November 03, 2023
Certificate Expiration Date
November 02, 2025
Laboratory Director
RUNDA ELKHATIB
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ahs Il Medical Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AHS IL MEDICAL GROUP LLC

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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 1659098101, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 5 → 10 → 1 0 → 0 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 0 + 9 + 0 + 9 + 1 + 6 + 1 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1659098101.

Other Providers at the Same Location


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

Internal Medicine
2100 MADISON AVE
GRANITE CITY, IL 62040
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Hospice Care, Community Based
2100 MADISON AVE
GRANITE CITY, IL 62040
Pediatrics
2100 MADISON AVE
GRANITE CITY, IL 62040
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Emergency Medicine
2100 MADISON AVE
GRANITE CITY, IL 62040
Emergency Medicine
2100 MADISON AVE
GRANITE CITY, IL 62040
Clinic/Center (Federally Qualified Health Center (FQHC))
2100 MADISON AVE
GRANITE CITY, IL 62040
Emergency Medicine
2100 MADISON AVE
GRANITE CITY, IL 62040
Emergency Medicine
2100 MADISON AVE
GRANITE CITY, IL 62040
Social Worker (Clinical)
2100 MADISON AVE, STE. 303
GRANITE CITY, IL 62040
Clinical Medical Laboratory
2100 MADISON AVE
GRANITE CITY, IL 62040
Pharmacist
2100 MADISON AVE
GRANITE CITY, IL 62040
Family Medicine
2100 MADISON AVE
GRANITE CITY, IL 62040
Dietitian, Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Dietitian, Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Dietitian, Registered (Nutrition, Metabolic)
2100 MADISON AVE
GRANITE CITY, IL 62040
Anesthesiology
2100 MADISON AVE
GRANITE CITY, IL 62040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659098101, enumerated as an "organization" on October 25, 2022.

The provider is located at 2100 MADISON AVE GRANITE CITY, IL 62040 and the phone number is (818) 666-0602.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.