24 ON PHYSICIANS, P.C. – Hospitalist Physician, NPI 1346480431
Hospitalist Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for 24 ON PHYSICIANS, P.C.
405 W Jackson St
Carbondale, IL 629011462
Phone: (770) 274-0468
Type: Location
201 S 14th St
Herrin, IL 629483631
Phone: (770) 274-0468
Type: Location
2 S Hospital Dr
Murphysboro, IL 629663333
Phone: (770) 274-0468
Type: Location
925 West St
Peru, IL 613542757
Phone: (815) 221-1380
Fax: (815) 221-1400
Type: Location
PO BOX 849318
BOSTON, MA 022849318
Phone: (770) 740-0895
Fax: (770) 740-0896
Type: Mailing
PO BOX 19108
BELFAST, ME 049154086
Phone: (770) 274-0468
Fax: (404) 806-4334
Type: Mailing
OSF Saint Elizabeth Medical Center, 1100, East Norris Drive, Ottawa, LaSalle County, Illinois, 61350, United States
OTTAWA, IL 613501604
Phone: (815) 431-5380
Fax: (815) 431-5672
Type: Location
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: 2009-06-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090609000389 | O | Clinic/Group Practice | IL | TBD |
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.
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 62901)
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