AJA LYSTILA MD – NPI #1215159744
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

AJA LYSTILA is a physician located in MATTOON, IL. NPPES has assigned the NPI number 1215159744 to AJA LYSTILA on May 03, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on Mar 09, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AJA LYSTILA below.

NPI Profile for
AJA LYSTILA

NPI Number
1215159744
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AJA LYSTILA
Credentials
MD
Primary location
2512 HURST DR.
FAMILY MEDICINE
MATTOON, IL 61938-9388
Phone: (217) 258-5900 Fax: (217) 258-5904
Mailing address
611 W. PARK ST.
BWPC
URBANA, IL 61801-2500
Phone: (217) 383-6792 Fax: (217) 258-5904
Sole Proprietor
No
Updated
Identifiers

Identifiers for AJA LYSTILA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036119163
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 IL 036119163
207P00000X
- Emergency Medicine		 IL 036119163

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2005
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AJA LYSTILA is affiliated with the following medical group(s):
  • HOSPITAL
    • CARLE FOUNDATION HOSPITAL
      611 WEST PARK STREET
      URBANA, IL 61801
    • CARLE HOOPESTON REGIONAL HEALTH CENTER
      701 EAST ORANGE STREET
      HOOPESTON, IL 60942
    • SARAH BUSH LINCOLN HEALTH CENTER
      1000 HEALTH CENTER DRIVE P O BOX 372
      MATTOON, IL 61938
  • HOME HEALTH AGENCY
    • CARLE HOME CARE
      1813 W KIRBY AVE
      CHAMPAIGN, IL 61821
    • LINCOLNLAND HOME CARE OF SBL
      1004 HEALTH CENTER DR, STE 202
      MATTOON, IL 61938
  • NURSING HOME
    • HILLTOP SKILLED NSG & REHAB
      910 WEST POLK STREET
      CHARLESTON, IL 61920
    • ODD FELLOW-REBEKAH HOME
      201 LAFAYETTE AVENUE EAST
      MATTOON, IL 61938
  • HOSPICE
    • LINCOLNLAND HOSPICE OF SARAH B
      1004 HEALTH CENTER DRIVE SUITE 202
      MATTOON, IL 61938

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