Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ista Ariane Egbeto, MD

Individual provider Dermatology Physician · NPI 1962080754

Ista Ariane Egbeto, MD is a Dermatology in Decatur, Illinois. Graduated from Tufts University School of Medicine in 2021, 5 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Trained at
Tufts University School of Medicine
Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Memorial Dr Fl 1
Decatur, IL 62526-3950
Phone: (217) 872-2930
Fax: (217) 872-2979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 680 Centre St, Brockton, MA 02302-3308 — (240) 273-6219

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036174078 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962080754
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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