Memorial Medical Group, LLC
NPI 1235474057 · Internal Medicine Physician · Belleville, IL
Memorial Medical Group, LLC is a Internal Medicine Physician organization in Belleville, IL (NPI 1235474057).
Provider details
- NPI number
- 1235474057
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Davis, Executive Director(618) 257-6302
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-12-05
- Last updated
- 2012-12-05
Frequently asked questions
- What is Memorial Medical Group, LLC's NPI number?
- Memorial Medical Group, LLC's National Provider Identifier (NPI) is 1235474057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memorial Medical Group, LLC?
- Memorial Medical Group, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Memorial Medical Group, LLC located?
- Memorial Medical Group, LLC's practice location on file with NPPES is 4550 Memorial Dr, Belleville, IL 62226-5372.
- What is Memorial Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Memorial Medical Group, LLC is (618) 257-6302.
- Who is the authorized official for Memorial Medical Group, LLC?
- The authorized official listed on Memorial Medical Group, LLC's NPPES record is James Davis, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memorial Medical Group, LLC's NPI active?
- Yes — Memorial Medical Group, LLC's NPI (1235474057) is active in the NPPES registry as of the last update on 2012-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.