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

Active since October 25, 2022
2100 MADISON AVE, GRANITE CITY, IL 62040(818) 666-0602 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2023, Apr 13, 2023, Feb 15, 2023 and 1 more (4 updates tracked since 2022).

About Ahs Il Medical Group Llc NPPES

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

AHS IL MEDICAL GROUP LLC (NPI 1659098101) is a healthcare organization registered as a clinic/center in Granite City, Illinois and active in the NPI registry since October 2022. The organization maintains 16 additional practice locations and lists Jonathan E Burket, Compliance, as its authorized official.

NPPES Registry Identity

NPI1659098101
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAHS IL MEDICAL GROUP LLC
Location Address2100 MADISON AVEGranite City, IL 62040-4713
Mailing Address4273 S State Route 159Glen Carbon, IL 62034-3224 · (186) 288-2297
Phone(818) 666-0602
Organization SubpartNo
Authorized OfficialJonathan E BurketCompliance · (818) 666-0602
Enumeration DateOctober 25, 2022
Last NPPES UpdateOctober 12, 20234 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1659098101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
2100 MADISON AVE, Granite City, IL 62040
Open in Google Maps ↗

Secondary Practice Locations 16

Location 16800 State Route 162Maryville, IL 62062-8500 · Phone (618) 288-5711
Location 22044 Madison Ave Ste G7Granite City, IL 62040-4641 · Phone (618) 798-3475
Location 32044 Madison Ave Ste G1Granite City, IL 62040-4641 · Phone (618) 798-3475
Location 4619 Edwardsville RdTroy, IL 62294-1441 · Phone (618) 667-1200
Location 54802 S State Route 159Glen Carbon, IL 62034-1904 · Phone (618) 288-4388
Location 64273 S State Route 159 Fl 2Glen Carbon, IL 62034-3224 · Phone (618) 288-2297
Location 73912 Maryville RdGranite City, IL 62040-4179 · Phone (618) 931-1335
Location 84230 S State Route 159Glen Carbon, IL 62034-3201 · Phone (618) 288-6870
Location 93908 Maryville Rd Ste 4Granite City, IL 62040-4197 · Phone (618) 931-1360
Location 10307 Henry St Ste 317Alton, IL 62002-6326 · Phone (618) 462-9623
Location 112044 Madison Ave Ste 27Granite City, IL 62040-4661 · Phone (618) 451-7600
Location 122044 Madison Ave Ste 24Granite City, IL 62040-4660 · Phone (618) 798-8280
Location 132044 Madison Ave Ste 23Granite City, IL 62040-4660 · Phone (618) 451-1500
Location 142044 Madison Ave Ste 15Granite City, IL 62040-4641 · Phone (314) 355-5100
Location 151261 University Dr Ste A&eEdwardsville, IL 62025-5586 · Phone (618) 655-9523
Location 16101 United Dr Ste 140Collinsville, IL 62234-7428 · Phone (618) 344-0248

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahs Il Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

107

Medicare enrollment records show 107 clinicians reassign Medicare billing to Ahs Il Medical Group LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner47
Urology14
Internal Medicine11
Emergency Medicine7
Family Practice4
Diagnostic Radiology3
Gastroenterology3
General Surgery3
10 other specialties15

Nearest to this location (20)

See all 107
Jeffrey Arendell, DO
Emergency Medicine
NPI 1386668218
2100 MADISON AVE
Granite City, IL 62040
(618) 798-6300
✔ PECOSSame address
Melissa Bounds, NP
Nurse Practitioner
NPI 1831630458
2100 MADISON AVE
Granite City, IL 62040
(618) 798-3066
✔ PECOSSame address
Donald Clark, FNP-BC
Nurse Practitioner
NPI 1366090573
2100 MADISON AVE
Granite City, IL 62040
(618) 798-3000
✔ PECOS✔ Accepts MedicareSame address
Dalton Halm
Nurse Practitioner
NPI 1083403653
2100 MADISON AVE
Granite City, IL 62040
(619) 798-3000
✔ PECOSSame address
Timothy Hipskind
Internal Medicine
NPI 1265439640
2100 MADISON AVE
Granite City, IL 62040
(618) 798-3000
✔ PECOSSame address
Crystle Laugavitz, PMHNP
Nurse Practitioner
NPI 1386220259
2100 MADISON AVE
Granite City, IL 62040
(618) 798-3000
✔ PECOS✔ Accepts MedicareSame address
Debabrata Ray, MD
Emergency Medicine
NPI 1699861583
2100 MADISON AVE
Granite City, IL 62040
(618) 798-3000
✔ PECOS✔ Accepts MedicareSame address
Riyadh Salih, MD
Internal Medicine
NPI 1215590039
2100 MADISON AVE
Granite City, IL 62040
(618) 798-3000
✔ PECOSSame address
Lawrence Harmon, MD
Internal Medicine
NPI 1275526956
2044 MADISON AVE SUITE 23
Granite City, IL 62040
(618) 451-1500
✔ PECOS0.1 mi
Nelson Yu, MD
Pulmonary Disease
NPI 1447297601
2044 MADISON AVE STE 15
Granite City, IL 62040
(618) 798-8405
✔ PECOS0.1 mi
Rajinder Mahay, MD
Internal Medicine
NPI 1669490421
2044 MADISON AVE SUITE 15
Granite City, IL 62040
(618) 451-1500
✔ PECOS0.1 mi
Elizabeth Mincy, APRN-C
Nurse Practitioner
NPI 1922233576
2044 MADISON AVE SUITE 15
Granite City, IL 62040
(618) 451-1500
✔ PECOS0.1 mi
Paul Pace, M.D.
General Surgery
NPI 1528222437
2044 MADISON AVE SUITE 27
Granite City, IL 62040
(618) 451-7600
✔ PECOS✔ Accepts Medicare0.1 mi
Gustavo Vonderlancken, MD
General Surgery
NPI 1881683282
2044 MADISON AVE SUITE 27
Granite City, IL 62040
(618) 451-7600
✔ PECOS0.1 mi
Rachel Jordan, APRN
Nurse Practitioner
NPI 1700682473
3912 MARYVILLE RD
Granite City, IL 62040
(618) 931-1335
✔ PECOS3.0 mi
Janae Korte, NP-C
Nurse Practitioner
NPI 1396288502
50 NORTHGATE INDUSTRIAL DR
Granite City, IL 62040
(618) 877-4420
✔ PECOS3.2 mi
Cari Stefani, FNP-BC, PMHNP-BC
Nurse Practitioner
NPI 1508286477
50 NORTHGATE INDUSTRIAL DR
Granite City, IL 62040
(188) 892-4378
✔ PECOS✔ Accepts Medicare3.2 mi
Denise Krone, FNP,BC
Nurse Practitioner
NPI 1902163942
2001 STATE ST
East Saint Louis, IL 62205
(618) 271-0204
✔ PECOS✔ Accepts Medicare5.7 mi
Damon Clines, M.D.
Gastroenterology
NPI 1508800582
4510 DELMAR BLVD
Saint Louis, MO 63108
(314) 454-6903
✔ PECOS6.9 mi
Faqir Ahmad, MD
Emergency Medicine
NPI 1487684957
11133 DUNN RD EMERGENCY DEPARTMENT, CHRISTIAN HOSPITAL
Saint Louis, MO 63136
(314) 653-5663
✔ PECOS7.4 mi
See all 107 clinicians

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 Ahs Il Medical Group LLC's NPI number?

The NPI number for Ahs Il Medical Group LLC is 1659098101. It was assigned to this organization in the NPPES registry on October 25, 2022.

Where is Ahs Il Medical Group LLC located?

Ahs Il Medical Group LLC is located at 2100 Madison Ave, Granite City, IL 62040. The listed phone number is (818) 666-0602.

What is Ahs Il Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Ahs Il Medical Group LLC enrolled in Medicare?

Yes. Ahs Il Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ahs Il Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 107 clinicians in 18 Medicare specialties reassign their Medicare billing to Ahs Il Medical Group 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 Nurse Practitioner (47), Urology (14) and Internal Medicine (11). Of these, 8 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ahs Il Medical Group LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ahs Il Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ahs Il Medical Group LLC was last updated on October 12, 2023. 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.