DR. JOHNNY C TENEGRA (M.D.) – Family Medicine Physician, NPI 1134483936

DR. JOHNNY C TENEGRA (M.D.) is a healthcare provider. based in Decatur, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036-138605 (IL). The NPI Number for DR. JOHNNY C TENEGRA (M.D.) is 1134483936

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHNNY C TENEGRA (M.D.)
NPI
1134483936
Phone
(217) 872-3800
Address
250 W KENWOOD AVE
Enumeration Date
27 June 2012
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175458000
Graduation Year
2011 (15 years ago)
PAC ID
6204077001
Group Practice PAC ID
4486667888
Professional Enrollment ID
I20150902000958
Address ID
IL627025238SP520XXSTXX400

Contacts

Secure Messaging
johnnytenegra@siusm.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. JOHNNY C TENEGRA (M.D.)

  • 250 W KENWOOD AVE

    DECATUR, IL 625264371

    Phone: (217) 872-3800

    Fax: (217) 872-0849

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-09-02

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
I20150902000958IFamily 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6523$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1514$0
99238Hospital discharge day management, 30 minutes or less1212$0
View full utilization report →

Insurance plans in this area (ZIP 62526)

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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
Clinical Social WorkerIL
Nurse PractitionerIL
-IL
Internal MedicineOK
Family PracticeIL
Internal MedicineIL
Nurse PractitionerIL
-IL

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. JOHNNY C TENEGRA (M.D.) have a public NPI I can cite?
Public records show DR. JOHNNY C TENEGRA (M.D.) under NPI 1134483936.
Should I treat DR. JOHNNY C TENEGRA (M.D.) as an active provider?
Patients and plans typically see DR. JOHNNY C TENEGRA (M.D.) as active in the national extract.
Which specialty label fits DR. JOHNNY C TENEGRA (M.D.)?
NPPES ties DR. JOHNNY C TENEGRA (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHNNY C TENEGRA (M.D.)?
DR. JOHNNY C TENEGRA (M.D.) is associated with Decatur, Illinois in the same public data insurers reference.
Can I export DR. JOHNNY C TENEGRA (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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