MRS. MARY ANNE DEPAZ MD NPI 1700846664

NPI Information

  • NPI: 1700846664
  • Provider Name: MRS. MARY ANNE DEPAZ, MD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 210 W. MCKINLEY AVE
    STE 2
    DECATUR, IL
    ZIP 62526
  • Phone: (217) 876-6600

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NPI Details

MRS. Mary Anne Depaz, MD is a radiation oncology radiology in Decatur, IL with 30 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. MRS. Mary Anne Depaz, MD NPI is 1700846664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:1995

The provider's business location address is:

210 W. MCKINLEY AVE
STE 2
DECATUR, IL
ZIP 62526
Phone: (217) 876-6600
Fax: (217) 876-6606

The NPI 1700846664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Complex radiation therapy planning (HCPCS:77263)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • Special radiation treatment (HCPCS:77470)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • 3d radiation therapy planning (HCPCS:77295)
  • Complex radiation therapy planning for delivery of external radiation (HCPCS:77307)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)

The enumeration date for this NPI number is 3/24/2006 and was last updated on 2/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation Oncology036-101577ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036101577MEDICAIDILLINOIS
2036-101577MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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