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MOHITKUMAR SUNILKUMAR AJMERI MD
NPI 1679135735
Family Medicine in Decatur, IL

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
67.18/100
CMS Quality Rating
441 W HAY ST STE 102, DECATUR, IL 62526(217) 876-4810(217) 527-3412 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mohitkumar Sunilkumar Ajmeri Md NPPES

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

MOHITKUMAR SUNILKUMAR AJMERI MD (NPI 1679135735) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036159113) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1679135735
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMOHITKUMAR SUNILKUMAR AJMERICredential: MD
Location Address441 W HAY ST STE 102Decatur, IL 62526-6325
Mailing Address441 W Hay St Ste 102Decatur, IL 62526-6325 · (217) 876-4810 · Fax (217) 527-3412
Phone(217) 876-4810
Fax(217) 527-3412
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 28, 2019
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1679135735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036159113
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.
441 W HAY ST STE 102, Decatur, IL 62526
Open in Google Maps ↗

Secondary Practice Location 1

Location 1520 N 4th StSpringfield, IL 62702-5238 · Phone (217) 545-8000 · Fax (217) 757-8161

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohitkumar Sunilkumar Ajmeri Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830424779
PECOS Enrollment IDI20230505000441
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mohitkumar Ajmeri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Decatur Memorial Hospital
0.1 mi
General Acute Care Hospital
2300 N EDWARD ST, GSBLL
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1164477725 (217) 876-2868

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
471 services230 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
109 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
89 services63 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
76 services76 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$45.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mohitkumar Ajmeri's NPI number?

The NPI number for Mohitkumar Ajmeri is 1679135735. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Mohitkumar Ajmeri located?

Mohitkumar Ajmeri practices at 441 W Hay St Ste 102, Decatur, IL 62526. The listed phone number is (217) 876-4810.

What is Mohitkumar Ajmeri's specialty?

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

Is Mohitkumar Ajmeri enrolled in Medicare?

Yes. Mohitkumar Ajmeri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mohitkumar Ajmeri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohitkumar Ajmeri reassigns Medicare benefits to Decatur Memorial Hospital (Decatur, IL). The 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 Mohitkumar Ajmeri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mohitkumar Ajmeri affiliated with any hospitals?

According to CMS data, Mohitkumar Ajmeri is affiliated with Decatur Memorial Hospital, Memorial Medical Center and St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Mohitkumar Ajmeri was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.