Carle Physician Group – Internal Medicine Physician, NPI 1154653947
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Carle Physician Group
Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States
BWPC
URBANA, IL 618012529
Phone: (217) 383-6792
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: 2026-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-08-31 (84 days away).
Enrollment records
31
Earliest due date
2026-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100513000829 | O | Clinic/Group Practice | IL | TBD |
| O20210804004043 | O | Clinic/Group Practice | CO | 2026-08-31 |
| O20210805000373 | O | Clinic/Group Practice | NC | 2026-09-30 |
| O20210805001202 | O | Clinic/Group Practice | FL | TBD |
| O20210805001691 | O | Clinic/Group Practice | GA | TBD |
| O20210807000118 | O | Clinic/Group Practice | MD | TBD |
| O20210812001436 | O | Clinic/Group Practice | NY | TBD |
| O20210819002029 | O | Clinic/Group Practice | HI | TBD |
| O20210910000162 | O | Clinic/Group Practice | TX | TBD |
| O20210910002942 | O | Clinic/Group Practice | KY | TBD |
| O20220121001437 | O | Clinic/Group Practice | MO | TBD |
| O20220420000585 | O | Clinic/Group Practice | NJ | TBD |
| O20231103003098 | O | Clinic/Group Practice | NV | TBD |
| O20240103003754 | O | Clinic/Group Practice | CA | TBD |
| O20240307002764 | O | Clinic/Group Practice | MI | TBD |
| O20240716000500 | O | Clinic/Group Practice | NM | TBD |
| O20240814002670 | O | Intensive Cardiac Rehabilitation | IL | TBD |
| O20250414002808 | O | Clinic/Group Practice | SD | TBD |
| O20250422002463 | O | Clinic/Group Practice | PA | TBD |
| O20250616001567 | O | Clinic/Group Practice | IN | TBD |
| O20250721000025 | O | Clinic/Group Practice | TN | TBD |
| O20250926004371 | O | Clinic/Group Practice | AZ | TBD |
| O20251113001242 | O | Clinic/Group Practice | KS | TBD |
| O20251218002758 | O | Clinic/Group Practice | OH | TBD |
| O20260217000349 | O | Clinic/Group Practice | VA | TBD |
| O20260219001963 | O | Clinic/Group Practice | MA | TBD |
| O20260220001200 | O | Clinic/Group Practice | SC | TBD |
| O20260223002963 | O | Clinic/Group Practice | LA | TBD |
| O20260224003261 | O | Clinic/Group Practice | OK | TBD |
| O20260227002395 | O | Clinic/Group Practice | WI | TBD |
| O20260313002795 | O | Clinic/Group Practice | UT | TBD |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 61801)
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