CMS-1500 Box 24J / 33a • NPI
1871580142
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207RX0202X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
210 W MCKINLEY AVE, SUITE 1, DECATUR, IL, 62526-5858
✓ 9-Digit EDI 837 ZIP+4 (62526-5858)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1871580142 (CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1871580142 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RX0202X (Internal Medicine, Medical Oncology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 210 W MCKINLEY AVE, SUITE 1, DECATUR, IL, 62526-5858 |
| Practice Telephone / Fax | Tel: (217) 876-6600 | Fax: (217) 876-6606 |
| Administrative Mailing Address | 210 W MCKINLEY AVE, DECATUR, IL, 62526-5858 |
| Enumeration & Last Sync | Enumerated: 2005-10-03 | CMS Record Updated: 2024-07-31 |
| Authorized Official | JUSTIN FLOYD (PRESIDENT) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RX0202X)
What Does Taxonomy Code 207RX0202X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RX0202X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RX0202X — Internal Medicine, Medical OncologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: IL | License: 042005607 | Primary: Yes (Primary) |
2085R0001X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology | State: IL | License: 042005607 | Primary: Secondary |
332B00000X — Durable Medical Equipment & Medical SuppliesPlain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies | State: IL | License: 042005607 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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