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K M B S C
NPI 1902867997
Pathology - Anatomic Pathology & Clinical Pathology in Decatur, IL

Active since March 29, 2006
1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-2966(217) 464-3193 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About K M B S C NPPES

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

K M B S C (NPI 1902867997) is a healthcare organization registered as an anatomic pathology & clinical pathology in Decatur, Illinois and active in the NPI registry since March 2006. The organization lists Sue A Strayer, President, as its authorized official.

NPPES Registry Identity

NPI1902867997
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameK M B S C
Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3883
Mailing AddressPo Box 790129St Louis, MO 63179-0129 · (217) 464-2966 · Fax (217) 464-3193
Phone(217) 464-2966
Fax(217) 464-3193
Organization SubpartNo
Authorized OfficialSue A StrayerPresident · (217) 464-2966
Enumeration DateMarch 29, 2006
Last NPPES UpdateJanuary 7, 2015
✔ NPI 1902867997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1800 E LAKE SHORE DR, Decatur, IL 62521
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Other Identifiers 2

Medicare ID-Type Unspecified986060IL
Other0581522929IL · Bcbs

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

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)

K M B S C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to K M B S C, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Sue Strayer, MD
Pathology
NPI 1376504365
1800 E LAKE SHORE DRIVE ST MARYS-DECATUR
Decatur, IL 62521
(217) 464-2966
✔ PECOS✔ Accepts MedicareSame address
Dana Altenburger, MD
Pathology
NPI 1003067661
1304 FRANKLIN AVE
Normal, IL 61761
(309) 268-2657
✔ PECOS✔ Accepts Medicare46 mi
Benjamin Coleman, MD
Pathology
NPI 1811036312
101 S MAJOR ST
Eureka, IL 61530
(309) 304-2115
✔ PECOS✔ Accepts Medicare64 mi

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 K M B S C's NPI number?

The NPI number for K M B S C is 1902867997. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is K M B S C located?

K M B S C is located at 1800 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 464-2966.

What is K M B S C's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is K M B S C enrolled in Medicare?

Yes. K M B S C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through K M B S C?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Pathology, reassign their Medicare billing to K M B S C. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does K M B S C accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list K M B S C 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 K M B S C was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.