EDGARD CUMPA (MD) – Internal Medicine Physician, NPI 1497743488

EDGARD CUMPA (MD) is a healthcare provider. based in Jacksonville, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036107283 (IL). The NPI Number for EDGARD CUMPA (MD) is 1497743488

Main info

Male
30 Years Of Experience
Name
EDGARD CUMPA (MD)
NPI
1497743488
Phone
(217) 243-6454
Address
1745 W WALNUT ST
Enumeration Date
12 October 2005
Last Update Date
23 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
6204883838
Group Practice PAC ID
3274445762
Professional Enrollment ID
I20050405001127
Address ID
IL627031944Sp2239XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,856 INTERNAL MEDICINE in IL

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Provider Addresses for EDGARD CUMPA (MD)

  • 1745, West Walnut Street, Jacksonville, Morgan County, Illinois, 62650, United States

    JACKSONVILLE, IL 626506126

    Phone: (217) 243-6454

    Fax: (217) 243-1388

    Type: Mailing

  • 2239 E COOK ST

    SPRINGFIELD, IL 627031944

    Phone: (217) 788-2300

    Fax: (217) 788-2341

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $185.

Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($128).

Total Amount

$185

General + Research + Ownership

Payments

3

Total payment records

General Amount

$185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2005-04-05

PECOS data refreshed: 2026-06-15

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
I20050405001127IInternal MedicineILTBD

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 62650)

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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: 3274445762View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
-IL
Nurse PractitionerIL
Family PracticeNY
General Practice, Obstetrics/GynecologyIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Is EDGARD CUMPA (MD) listed with a National Provider Identifier?
Yes — EDGARD CUMPA (MD) has NPI 1497743488 on file in the registry.
Is EDGARD CUMPA (MD) still an active registrant?
EDGARD CUMPA (MD) carries an active NPI according to the public dataset.
What area of care is associated with EDGARD CUMPA (MD)?
EDGARD CUMPA (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EDGARD CUMPA (MD)?
Travel planning: use Jacksonville, Illinois as the reference point for EDGARD CUMPA (MD), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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