Lake Shore Ob Gyn of Decatur S C
NPI 1700925583 · Specialist · Decatur, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Shore Ob Gyn of Decatur S C is a Specialist organization in Decatur, IL (NPI 1700925583).
Provider details
- NPI number
- 1700925583
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Adel Hanna, Owner(217) 429-4119
Specialties & taxonomies
Other Service Providers
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
- 2007-02-06
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Lake Shore Ob Gyn of Decatur S C's NPI number?
- Lake Shore Ob Gyn of Decatur S C's National Provider Identifier (NPI) is 1700925583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shore Ob Gyn of Decatur S C?
- Lake Shore Ob Gyn of Decatur S C is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lake Shore Ob Gyn of Decatur S C located?
- Lake Shore Ob Gyn of Decatur S C's practice location on file with NPPES is 741 W Pershing Rd, Decatur, IL 62526-1634.
- What is Lake Shore Ob Gyn of Decatur S C's phone number?
- The practice phone number listed in the NPPES registry for Lake Shore Ob Gyn of Decatur S C is (217) 429-4119.
- Does Lake Shore Ob Gyn of Decatur S C accept Medicare?
- Lake Shore Ob Gyn of Decatur S C 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 Lake Shore Ob Gyn of Decatur S C?
- The authorized official listed on Lake Shore Ob Gyn of Decatur S C's NPPES record is Adel Hanna, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shore Ob Gyn of Decatur S C's NPI active?
- Yes — Lake Shore Ob Gyn of Decatur S C's NPI (1700925583) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.