DR. RAMI M ELMASRY (MD) – Family Medicine Physician, NPI 1104496454

DR. RAMI M ELMASRY (MD) is a healthcare provider. based in Springfield, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036.168926 (IL). The NPI Number for DR. RAMI M ELMASRY (MD) is 1104496454

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAMI M ELMASRY (MD)
NPI
1104496454
Phone
(217) 545-8000
Address
201 E MADISON ST STE 328
Enumeration Date
29 June 2021
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178723800
Graduation Year
2020 (6 years ago)
PAC ID
3779985668
Group Practice PAC ID
4486667888
Professional Enrollment ID
I20240613000926
Address ID
IL625264379DE102XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. RAMI M ELMASRY (MD)

  • 201 E MADISON ST STE 328

    SPRINGFIELD, IL 627025131

    Phone: (217) 545-8000

    Type: Mailing

  • 102 W KENWOOD AVE STE 100

    DECATUR, IL 625264379

    Phone: (217) 872-3800

    Fax: (217) 872-0849

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2023-06-22 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240613000926IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486667888View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Physician AssistantIL
Family PracticeIL
Registered Dietitian Or Nutrition ProfessionalIL
Clinical Social WorkerIL
Nurse PractitionerIL
Mental Health CounselorIL
-IL
Internal MedicineOK
Family PracticeIL

Reviews

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Frequently asked questions

What is DR. RAMI M ELMASRY (MD)'s NPI number?
DR. RAMI M ELMASRY (MD)'s NPI is 1104496454 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. RAMI M ELMASRY (MD)?
You should see DR. RAMI M ELMASRY (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. RAMI M ELMASRY (MD)?
DR. RAMI M ELMASRY (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. RAMI M ELMASRY (MD)?
Travel planning: use Springfield, Illinois as the reference point for DR. RAMI M ELMASRY (MD), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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