ROBERT D CHILDERS MD SC
NPI 1699962498
Clinic/Center in Jerseyville, IL

Active since September 26, 2007
400 MAPLE SUMMIT RD, STE 300, JERSEYVILLE, IL 62052(618) 498-8470(618) 498-8488 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert D Childers Md Sc NPPES

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

ROBERT D CHILDERS MD SC (NPI 1699962498) is a healthcare organization registered as a clinic/center in Jerseyville, Illinois and active in the NPI registry since September 2007. The organization lists Robert Duncan Childers, President, as its authorized official.

NPPES Registry Identity

NPI1699962498
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameROBERT D CHILDERS MD SC
Location Address400 MAPLE SUMMIT RD, STE 300Jerseyville, IL 62052-2028
Mailing Address400 Maple Summit Rd, Ste 300Jerseyville, IL 62052-2028 · (618) 498-8470 · Fax (618) 498-8488
Fax(618) 498-8488
Organization SubpartNo
Authorized OfficialRobert Duncan ChildersPresident · (618) 498-8470
Enumeration DateSeptember 26, 2007
Last NPPES UpdateFebruary 25, 2008
NPI 1699962498 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).
400 MAPLE SUMMIT RD, Jerseyville, IL 62052

Other Identifiers 3

Medicare UPINB18395IL
OtherDG2287Railroad Medicare
Medicare PIN208069IL

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 14D0889480

Robert D Childers MD · Jerseyville, IL
Expired · Jul 28, 2026
CLIA Number14D0889480
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorRobert D. Childers MD
Laboratory Phone(618) 498-8470
Laboratory LocationRobert D Childers MD400 Maple Summit Road, Jerseyville, IL 62052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Physical Therapist
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Obstetrics & Gynecology (Obstetrics)
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Radiology (Diagnostic Radiology)
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Registered Nurse (Diabetes Educator)
400 MAPLE SUMMIT RD, JERSEY COMMUNITY HOSPITAL
JERSEYVILLE, IL 62052
Radiology (Diagnostic Radiology)
400 MAPLE SUMMIT RD, RADIOLOGY DEPT
JERSEYVILLE, IL 62052
Internal Medicine (Nephrology)
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Family Medicine
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052

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 Robert D Childers MD Sc's NPI number?

The NPI number for Robert D Childers MD Sc is 1699962498. It was assigned to this organization in the NPPES registry on September 26, 2007.

Where is Robert D Childers MD Sc located?

Robert D Childers MD Sc is located at 400 Maple Summit Rd Ste 300, Jerseyville, IL 62052. The listed phone number is (618) 498-8470.

What is Robert D Childers MD Sc's specialty?

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

What insurance does Robert D Childers MD Sc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Robert D Childers MD Sc 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 Robert D Childers MD Sc was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.