CENTRAL ILLINOIS BONE AND JOINT CENTER
NPI 1811993405
Orthopaedic Surgery in Decatur, IL

Active since June 28, 2005
2905 N MAIN ST, SUITE G, DECATUR, IL 62526(217) 425-2600(217) 425-2900 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2017, Feb 7, 2017 (2 updates tracked since 2017).

About Central Illinois Bone And Joint Center NPPES

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

CENTRAL ILLINOIS BONE AND JOINT CENTER (NPI 1811993405) is a healthcare organization registered as an orthopaedic surgery in Decatur, Illinois and active in the NPI registry since June 2005. The organization lists John Chris Kefalas, President, as its authorized official.

NPPES Registry Identity

NPI1811993405
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameJOHN C. KEFALAS, M.D.,S.C.
Location Address2905 N MAIN ST, SUITE GDecatur, IL 62526-4276
Mailing Address2905 N Main St, Suite GDecatur, IL 62526-4276 · (217) 425-2600 · Fax (217) 425-2900
Fax(217) 425-2900
Organization SubpartNo
Authorized OfficialJohn Chris KefalasPresident · (217) 425-2600
Enumeration DateJune 28, 2005
Last NPPES UpdateFebruary 13, 20172 updates tracked since enumeration
✔ NPI 1811993405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 36-094691
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2905 N MAIN ST, Decatur, IL 62526

Other Names 1

Doing Business AsCentral Illinois Bone And Joint Center

Other Identifiers 4

Medicare UPINF77537IL
Medicare ID-Type Unspecified201618IL · Medicare Provider Number
Medicaid36-094691IL
Medicare NSC5377260001IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Illinois Bone And Joint Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Central Illinois Bone And Joint Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Orthopedic Surgery
NPI 1386832855
2905 N MAIN ST SUITE G
Decatur, IL 62526
(217) 425-2600
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1720580467
2905 N MAIN ST STE G
Decatur, IL 62526
(217) 425-2600
✔ Accepts MedicareSame address

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 John C. Kefalas, M.D.,s.C.'s NPI number?

The NPI number for John C. Kefalas, M.D.,s.C. is 1811993405. It was assigned to this organization in the NPPES registry on June 28, 2005. The provider is doing business as Central Illinois Bone And Joint Center.

Where is John C. Kefalas, M.D.,s.C. located?

John C. Kefalas, M.D.,s.C. is located at 2905 N Main St Suite G, Decatur, IL 62526. The listed phone number is (217) 425-2600.

What is John C. Kefalas, M.D.,s.C.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John C. Kefalas, M.D.,s.C. enrolled in Medicare?

Yes. John C. Kefalas, M.D.,s.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John C. Kefalas, M.D.,s.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to John C. Kefalas, M.D.,s.C., in Orthopedic Surgery and Physical Therapist in Private Practice. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for John C. Kefalas, M.D.,s.C. was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.