OrganizationActive
Medgenyx, PLLC
NPI 1679261358 · Point of Service · Urbana, IL
Provider details
- NPI number
- 1679261358
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Theresa Johnson, Ceo(217) 778-8505
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1734 S Stone Creek Blvd
Urbana, IL 61802-9667
Phone: (217) 390-0273
Approximate (ZIP-level) locationGet directions
Mailing address
907 W Marketview Dr Ste 10
Champaign, IL 61822-1250
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.