FAMILY PRACTICE ASSOCIATES
NPI 1962128256
Family Medicine in Columbia, IL
About Family Practice Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY PRACTICE ASSOCIATES (NPI 1962128256) is a healthcare organization registered as a family medicine in Columbia, Illinois and active in the NPI registry since October 2022. The organization lists Kyle Dillman, Secretary / Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Practice Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Family Practice Associates, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 29Belleville, IL 62223
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 Deaconess Illinois Clinic, Inc's NPI number?
The NPI number for Deaconess Illinois Clinic, Inc is 1962128256. It was assigned to this organization in the NPPES registry on October 18, 2022. The provider is doing business as Family Practice Associates and Deaconess IL Clinic Eleven S.
Where is Deaconess Illinois Clinic, Inc located?
Deaconess Illinois Clinic, Inc is located at 1000 Eleven S Ste 2E, Columbia, IL 62236. The listed phone number is (618) 281-2773.
What is Deaconess Illinois Clinic, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Deaconess Illinois Clinic, Inc enrolled in Medicare?
Yes. Deaconess Illinois Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deaconess Illinois Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 5 Medicare specialties reassign their Medicare billing to Deaconess Illinois Clinic, Inc. 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 (18), Family Practice (8) and Emergency Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Deaconess Illinois Clinic, Inc was last updated on January 26, 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.
# Family Practice Associates · NPI 1962128256
Family Medicine organization in Columbia, Illinois. Organization record, active in the CMS NPPES registry since October 18, 2022.
## Identity
- **NPI:** 1962128256 (Entity type: Organization)
- **Enumerated:** October 18, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Deaconess Illinois Clinic, Inc
- **Also known as:** Deaconess IL Clinic Eleven S (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kyle Dillman, SECRETARY / TREASURER
## Practice location
- **Address:** 1000 ELEVEN S STE 2E, Columbia, IL 62236-1079
- **Phone:** (618) 281-2773 · **Fax:** (618) 281-0245
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Family Practice (8), Emergency Medicine (1); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1962128256/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1962128256) · Data from the CMS NPPES public registry.