INTEGRATED MEDICAL GROUP LTD – Chiropractor, NPI 1487750691

INTEGRATED MEDICAL GROUP LTD is a healthcare provider. based in Edwardsville, Illinois. specializing in Chiropractor. The organization holds a License No. 038009512 (IL). The NPI Number for INTEGRATED MEDICAL GROUP LTD is 1487750691

Main info

Organization
Name
INTEGRATED MEDICAL GROUP LTD
NPI
1487750691
Phone
(618) 692-6700
Address
PO BOX 997
Authorized Official
DAVID THAYER OWNER DC
Enumeration Date
15 September 2006
Last Update Date
11 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for INTEGRATED MEDICAL GROUP LTD

  • PO BOX 997

    EDWARDSVILLE, IL 620250997

    Phone: (618) 692-6700

    Fax: (618) 692-6711

    Type: Mailing

  • 435, South Buchanan Street, Edwardsville, Madison County, Illinois, 62025, United States

    EDWARDSVILLE, IL 620252091

    Phone: (618) 692-6700

    Fax: (618) 692-6711

    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: 2006-12-15

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
O20061215000438OClinic/Group 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62025)

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Reviews

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Frequently asked questions

How is INTEGRATED MEDICAL GROUP LTD identified in CMS data?
CMS-hosted NPPES data lists INTEGRATED MEDICAL GROUP LTD with NPI 1487750691.
Is INTEGRATED MEDICAL GROUP LTD listed as active for patients and plans?
The listing shows INTEGRATED MEDICAL GROUP LTD as active in the NPI system.
What is INTEGRATED MEDICAL GROUP LTD's specialty?
The listing groups INTEGRATED MEDICAL GROUP LTD with Chiropractor. Clinical services aligned with this taxonomy classification.
Does INTEGRATED MEDICAL GROUP LTD list a practice location?
Patients near Edwardsville, Illinois may find INTEGRATED MEDICAL GROUP LTD in results; validate coverage separately.
Is the information about INTEGRATED MEDICAL GROUP LTD up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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