Anthony O Amiewalan MD, Sc
NPI 1053543215 · Legal Medicine · Decatur, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anthony O Amiewalan MD, Sc is a Legal Medicine organization in Decatur, IL (NPI 1053543215).
Provider details
- NPI number
- 1053543215
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Amiewalan, Doctor(217) 422-0560
Specialties & taxonomies
Other Service Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Other names (DBA / former)
- Doing business as
- Anthony O Amiewalan MD Sc
- Doing business as
- Anthony O Amiewalan MD Sc
Registry dates
- Enumerated
- 2009-08-20
- Last updated
- 2025-03-27
- Certified
- 2025-03-24
Frequently asked questions
- What is Anthony O Amiewalan MD, Sc's NPI number?
- Anthony O Amiewalan MD, Sc's National Provider Identifier (NPI) is 1053543215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anthony O Amiewalan MD, Sc?
- Anthony O Amiewalan MD, Sc is classified in the NPPES registry as Legal Medicine (Other Service Providers).
- Where is Anthony O Amiewalan MD, Sc located?
- Anthony O Amiewalan MD, Sc's practice location on file with NPPES is 2965 N Main St Ste a, Decatur, IL 62526-4397.
- What is Anthony O Amiewalan MD, Sc's phone number?
- The practice phone number listed in the NPPES registry for Anthony O Amiewalan MD, Sc is (217) 422-0560.
- Does Anthony O Amiewalan MD, Sc accept Medicare?
- Anthony O Amiewalan MD, Sc 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 Anthony O Amiewalan MD, Sc?
- The authorized official listed on Anthony O Amiewalan MD, Sc's NPPES record is Anthony Amiewalan, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anthony O Amiewalan MD, Sc's NPI active?
- Yes — Anthony O Amiewalan MD, Sc's NPI (1053543215) is active in the NPPES registry as of the last update on 2025-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.