MEMORIAL MEDICAL CENTER – General Acute Care Hospital, NPI 1255317590

MEMORIAL MEDICAL CENTER is a healthcare provider. based in Springfield, Illinois. specializing in General Acute Care Hospital. The organization holds a License No. ========= (IL). The NPI Number for MEMORIAL MEDICAL CENTER is 1255317590

Main info

Organization
Name
MEMORIAL MEDICAL CENTER
NPI
1255317590
Phone
(217) 788-3000
Address
701 N 1ST ST
Authorized Official
JAMESON M ROSZHART PRESIDENT & CEO
Enumeration Date
19 December 2005
Last Update Date
14 June 2024
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

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Provider Addresses for MEMORIAL MEDICAL CENTER

  • Memorial Medical Center, 701, North 1st Street, Springfield, Sangamon County, Illinois, 62781, United States

    SPRINGFIELD, IL 627810001

    Phone: (217) 788-3000

    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: 2007-11-28

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
O20071128000702OHospitalILTBD

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 62781)

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Reviews

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Frequently asked questions

How do I look up MEMORIAL MEDICAL CENTER by NPI?
Use NPI 1255317590 when you need to reference MEMORIAL MEDICAL CENTER in forms, claims, or directories.
Is MEMORIAL MEDICAL CENTER currently active in the NPI registry?
CMS-published data lists MEMORIAL MEDICAL CENTER as an active registrant.
Does MEMORIAL MEDICAL CENTER list a primary specialty?
If you are matching referrals, note General Acute Care Hospital for MEMORIAL MEDICAL CENTER. Clinical services aligned with this taxonomy classification.
Does MEMORIAL MEDICAL CENTER practice in Illinois?
You will see Springfield, Illinois on file for MEMORIAL MEDICAL CENTER alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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