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

Kevin M Oliver, DO

Individual provider Emergency Medicine Physician · NPI 1477549020

Kevin M Oliver, DO is an Emergency Medicine in Decatur, Illinois. Qualified in 1988, 38 years ago. Practices with Southeastern Emergency Physicians of Memphis LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
38
Licensed in
IL, MO
In the registry since
2005
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone: (217) 464-2973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036-116436 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence R8J38 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence R8J38 (MO)

Record details

NPI number1477549020
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address785 Stevens Creek Boulevard, Forsyth, IL 62535-9741

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Southeastern Emergency Physicians Of Memphis Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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