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
- 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 2 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
- Code Navigator
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:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- 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
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- 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
- Elite Silver - 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
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 0 | 9 | 8 | 1 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 0 | 9 | 16 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 0 + 9 + 1 + 6 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1659098101 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
TIMOTHY HIPSKIND
Internal Medicine
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
MARY BIGONGIARI CRNA
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
TIMOTHY O'CONNOR CRNA
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
GRANITE CITY CLINIC CORP
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
GRANITE CITY HOME CARE SERVICES, LLC
Hospice Care, Community Based
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
DR. CHAVALIT ROJAN M.D
Pediatrics
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
KRISTOPHER MICHAEL KLINT CRNA
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
EMERGENCY DEPARTMENT ASSOCIATES, P.C.
Emergency Medicine
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
DAVID BOGOLUB DO
Emergency Medicine
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC
Clinic/Center
(Federally Qualified Health Center (FQHC))
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
JEFFREY D ARENDELL DO
Emergency Medicine
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
DEBABRATA RAY MD
Emergency Medicine
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
MS. SANG YUN NELSON LCSW
Social Worker
(Clinical)
2100 MADISON AVE
STE. 303
GRANITE CITY, IL
ZIP 62040
DIAGNOSTIC CYTOLOGY LABORATORIES INC
Clinical Medical Laboratory
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
DANIELLE ALISS RAHMAN PHARMD
Pharmacist
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
CRISALE COSAS MD
Family Medicine
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
BROOKE MICHELE LIPE RD LD
Dietitian, Registered
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
JANICE M PAUTLER RD,LD
Dietitian, Registered
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
LAURIE B BEEBE MS, RD, LD
Dietitian, Registered
(Nutrition, Metabolic)
2100 MADISON AVE
GRANITE CITY, IL
ZIP 62040
SARAH E JETER CRNA
Anesthesiology
2100 MADISON AVE
GRANITE CITY, IL
ZIP 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: Aetna CVS Health, Ambetter from Home State Health,. Please consult your insurance carrier or call the provider to verify.
