Heartland Pediatric Clinic
NPI 1053413740 · Rural Health Clinic/Center · Marion, IL
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heartland Pediatric Clinic is a Rural Health Clinic/Center organization in Marion, IL (NPI 1053413740).
Provider details
- NPI number
- 1053413740
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Luis Lopez, President/Physician(618) 993-5274
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Frequently asked questions
- What is Heartland Pediatric Clinic's NPI number?
- Heartland Pediatric Clinic's National Provider Identifier (NPI) is 1053413740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heartland Pediatric Clinic?
- Heartland Pediatric Clinic is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Heartland Pediatric Clinic located?
- Heartland Pediatric Clinic's practice location on file with NPPES is 1000 W Deyoung St, Marion, IL 62959-1630.
- What is Heartland Pediatric Clinic's phone number?
- The practice phone number listed in the NPPES registry for Heartland Pediatric Clinic is (618) 993-5274.
- Does Heartland Pediatric Clinic accept Medicare?
- Heartland Pediatric Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Heartland Pediatric Clinic?
- The authorized official listed on Heartland Pediatric Clinic's NPPES record is Luis Lopez, President/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heartland Pediatric Clinic's NPI active?
- Yes — Heartland Pediatric Clinic's NPI (1053413740) is active in the NPPES registry as of the last update on 2020-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.