Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jagan Mohan Reddy Bokka I, MD

Individual provider Family Medicine Physician · NPI 1124274063

Jagan Mohan Reddy Bokka I, MD is a Family Practice in Mattoon, Illinois. Qualified in 2003, 23 years ago. Practices with Sarah Bush Lincoln Health Center, a 410-clinician group and accepts Medicare assignment. Licensed in Illinois and Oklahoma.

Years since qualifying
23
Licensed in
IL, OK
In the registry since
2008
Specialties on file
3
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

1000 Health Center Dr
Mattoon, IL 61938-9261
Phone: (217) 238-4325
Fax: (217) 348-4290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-128216 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 26478 (OK)
Hospitalist Physician Taxonomy 208M00000X · Licence 036-128216 (IL)

Record details

NPI number1124274063
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 12, 2008
Last updated in NPPESNovember 13, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Sarah Bush Lincoln Health Center — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mattoon