Crossroads Internal Medicine #1 – Internal Medicine Physician, NPI 1790779874

Crossroads Internal Medicine #1 is a healthcare provider. based in Mount vernon, Illinois. specializing in Internal Medicine Physician. The NPI Number for Crossroads Internal Medicine #1 is 1790779874

Main info

Organization
Name
Crossroads Internal Medicine #1
NPI
1790779874
Phone
(618) 244-4313
Address
4101 N WATER TOWER PL
Authorized Official
DEBBIE T BREWER DIRECTOR OF PROVIDER ENROLLMENT
Enumeration Date
6 September 2005
Last Update Date
30 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Crossroads Internal Medicine #1

  • 4101, North Water Tower Place, Mount Vernon, Jefferson County, Illinois, 62864, United States

    MOUNT VERNON, IL 628646296

    Phone: (618) 244-4313

    Fax: (618) 244-9592

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 62864)

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Reviews

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Frequently asked questions

Is there an official ID for Crossroads Internal Medicine #1 in U.S. healthcare records?
The official identifier for Crossroads Internal Medicine #1 is NPI 1790779874.
Would Crossroads Internal Medicine #1 appear as active to a payer?
You can treat Crossroads Internal Medicine #1 as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is Crossroads Internal Medicine #1?
Crossroads Internal Medicine #1 is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is Crossroads Internal Medicine #1 registered?
Use Mount Vernon, Illinois as the headline location for Crossroads Internal Medicine #1 here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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