Organization Active NPI

Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Raymond, IL
National Provider Identifier
1013255942
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SPRINGFIELD CLINIC LLP
Practice address
801 N Obannon St
Raymond, IL 62560-5283
Phone
(217) 229-3711
NPI assigned
Jan 28, 2013
Last updated
Dec 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cal Robert Thomas
Title
Cso
Phone
(217) 528-7541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

801 N Obannon St
Raymond, IL 62560-5283

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541

Other names 1

  • Raymond Rural Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031208000403 IL Part B Supplier - Clinic/Group Practice 0547166076 Receives reassigned benefits from 68 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carlinville, IL; Virden, IL; Raymond, IL; Nokomis, IL; Litchfield, IL; Hillsboro, IL
O20130207000004 IL Part A Provider - Rural Health Clinic 0547166076 Practice locations: Raymond, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013255942. Details of each certification follow.

Rural health clinic certification: CCN 783829

Legal name
SPRINGFIELD CLINIC, LLP
Doing business as
SPRINGFIELD CLINIC RAYMOND RURAL HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 9, 2013
Last certification
Sep 19, 2019
Ownership / control type
1C
Organization structure
PartnershipProprietary
Enrollment address
801 N Obannon St
Raymond, IL 62560-5283

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0664452Springfield Clinic Raymond801 N Obannon - Pentagon Plaza, Raymond, IL 62560Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Springield Clinic63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Ownership & related parties

All disclosed owners & managing parties 306

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tara Z Bennett Individual Limited Partnership Interest Mar 1, 2011
Stephen J Pineda Individual Limited Partnership Interest Jan 1, 1999
Richard T Eden Individual Limited Partnership Interest Jan 1, 2010
Murty S Renduchintala Individual Limited Partnership Interest Jan 1, 2013
Xochitl L Garcia Individual Limited Partnership Interest Apr 1, 2023
Justin Lee Fischer Individual Limited Partnership Interest Oct 1, 2020
Jacob R Hopping Individual Limited Partnership Interest Oct 1, 2020
Bridget E McIlwee Individual Limited Partnership Interest Jan 1, 2022
Kelsey K Freitag Individual Limited Partnership Interest Jul 1, 2022
Dakota Gilbert Individual Limited Partnership Interest Jul 1, 2024
Sanjay Y Bangarulingam Individual Limited Partnership Interest Oct 1, 2021
Molly K Lundy Individual Limited Partnership Interest Apr 1, 2025
Paul E Pacheco Individual Limited Partnership Interest Jan 1, 2015
William D Payne Individual Limited Partnership Interest Jan 1, 2009
Todd D Elmore Individual Limited Partnership Interest Jan 1, 2023
Calvin Moy Individual Limited Partnership Interest Oct 1, 2022
Gwen Brooke Griffen Individual Limited Partnership Interest Jan 1, 2018
Patrick Joseph Florido Individual Limited Partnership Interest Jan 1, 2022
Abigail White Individual Limited Partnership Interest Jan 1, 2018
Jeremiah S Reedy Individual Limited Partnership Interest Jan 1, 2021
Stephen Morgan Ryan Individual Limited Partnership Interest Jan 1, 1999
Toni M Quinn Individual Limited Partnership Interest Jan 1, 2006
Stephanie Swope Individual Limited Partnership Interest Jul 1, 2021
Xinyan Huang Individual Limited Partnership Interest Jan 1, 2010
Muhammad F Khan Individual Limited Partnership Interest Oct 1, 2021
Emily M Serafin Individual Limited Partnership Interest Jan 1, 2021
Shuchi Shah Individual Limited Partnership Interest Apr 1, 2024
Nicolas a Forero Individual Limited Partnership Interest Jan 1, 2015
Hope E Knauer Individual Limited Partnership Interest Jan 1, 2016
Pramila R Venigalla Individual Limited Partnership Interest Jan 1, 2006
Sudha G Prasad Individual Limited Partnership Interest Jan 1, 2012
Jason P Guthrie Individual Limited Partnership Interest Jan 1, 2011
Chinelo C Echeazu Individual Limited Partnership Interest Apr 1, 2023
Jac Cooper Individual Limited Partnership Interest Jan 1, 2024
Randy L Western Individual Limited Partnership Interest Jan 1, 1996
Mary Joelle Curry Individual Limited Partnership Interest Jul 1, 2021
Aaron Konrad Individual Limited Partnership Interest Jul 1, 2021
David L Crawford Individual Limited Partnership Interest Oct 1, 2020
Scott a Mink Individual Limited Partnership Interest Jan 1, 2005
Sean David Hayes Individual Limited Partnership Interest Jan 1, 2019
Archana Nayani Individual Limited Partnership Interest Oct 1, 2021
Aneesa Gaffar Individual General Partnership Interest Jul 1, 2024
Robert Knudson Individual Limited Partnership Interest Jul 1, 2021
Stephen Yuliang Chen Individual Limited Partnership Interest Jan 1, 2017
Theodore J Paradowski Individual Limited Partnership Interest Jan 1, 2014
Dmitry Shuster Individual Limited Partnership Interest Jan 1, 2020
Preet Singh Individual Limited Partnership Interest Jan 1, 2019
Joshua D Billington Individual Limited Partnership Interest Jan 1, 2019
Bryan J Albracht Individual Limited Partnership Interest Jan 1, 2000
Pratish Shah Individual Limited Partnership Interest Jul 1, 2023
Marisa Blitstein Individual Limited Partnership Interest Jul 1, 2021
Curt C Farr Individual Limited Partnership Interest Jan 1, 2015
Megan J Forshee Individual Limited Partnership Interest Jan 1, 2021
Kruti Desai Individual Limited Partnership Interest Oct 1, 2021
Philip Garcia Individual Limited Partnership Interest Jan 1, 1995
Roger S McClintock Individual Limited Partnership Interest Jan 1, 2002
William L Peterson Individual Limited Partnership Interest Jan 1, 2005
Tomasz P Srokowski Individual Limited Partnership Interest Jan 1, 2012
Abigail Maciolek Cochran Individual Limited Partnership Interest Jan 1, 2022
Piero Capecci Individual Limited Partnership Interest Jan 1, 2018
Cal Thomas Individual Corporate OfficerChief Development Officer Jul 1, 2022
Robert Pearson Schuh Individual Limited Partnership Interest Jul 1, 2021
Nileshkumar J Patel Individual Limited Partnership Interest Oct 1, 2021
Koteswara Rao Narla Individual Limited Partnership Interest Jan 1, 2000
Raj K Sinha Individual Limited Partnership Interest Jan 1, 2005
Amy E Hall Individual Limited Partnership Interest Mar 1, 2011
Richa Pandey Individual Limited Partnership Interest Jan 1, 2018
Dhiren Bhagubhai Patel Individual Limited Partnership Interest Jan 1, 2021
Marc R Dejong Individual Limited Partnership Interest Jan 1, 2017
Seetal Kakumani Individual Limited Partnership Interest Jan 1, 2013
Joseph Standard Individual Limited Partnership Interest Apr 1, 2024
Shyam Kiran Gandam Venkata Individual Limited Partnership Interest Oct 1, 2022
Janda T Stevens Individual Limited Partnership Interest Jan 1, 2025
Vivianne C Beyer Individual Limited Partnership Interest Jan 1, 2016
Saurabh Jha Individual Limited Partnership Interest Jan 1, 2021
Solmaz Bauk Individual Limited Partnership Interest Jul 1, 2021
Praveen Garg Individual Limited Partnership Interest Oct 1, 2020
Kenneth R Sagins Individual Limited Partnership Interest Jan 1, 1999
Santhi B Arikati Individual Limited Partnership Interest Jul 1, 2021
Ahmad Mohamad Individual Limited Partnership Interest Oct 1, 2024
Ghanshyambhai Savani Individual Limited Partnership Interest Jul 1, 2022
Randall James Brenneman Individual Limited Partnership Interest Jul 1, 2025
Gregory E Clem Individual Limited Partnership Interest Jan 1, 1997
Gaurav Sangwan Individual Limited Partnership Interest Jan 1, 2014
Mehdi Shahidi Individual Limited Partnership Interest Apr 1, 2024
Gretchen Gibbs Individual Limited Partnership Interest Jan 1, 2018
David J Kowalski Individual Limited Partnership Interest Jan 1, 2016
Neha N Amin Individual Limited Partnership Interest Jan 1, 2023
Alison C. Rinaberger Individual Limited Partnership Interest Jan 1, 2018
Brian C Baumann Individual Limited Partnership Interest Apr 1, 2024
Natalie Anne Mahoney Individual Limited Partnership Interest Apr 1, 2022
Mary K Campbell Individual Limited Partnership Interest Jan 1, 2000
Grant W Su Individual Limited Partnership Interest Jan 1, 2010
Steven D Omarro Individual Limited Partnership Interest Jan 1, 1993
Gabor Matos Individual Limited Partnership Interest Apr 1, 2025
Namita Vinayek Individual Limited Partnership Interest Jan 1, 2017
Christopher E Wottowa Individual Limited Partnership Interest Jan 1, 1998
Maureen Brianne O'Marro Individual Limited Partnership Interest Oct 1, 2022
Abigail Buerkett Individual Limited Partnership Interest Jan 1, 2025
Matthew L Peecher Individual Limited Partnership Interest Jan 1, 2021
Elizabeth E Obrien Individual Limited Partnership Interest Jan 1, 2011
Samir Patel Individual Limited Partnership Interest Jan 1, 2006
Kanchan Gupta Individual Limited Partnership Interest Jul 1, 2021
Elizabeth D Woodward Individual Limited Partnership Interest Jan 1, 2015
Lindsey Anne Harden Atwood Individual Limited Partnership Interest Jul 1, 2025
Molly Etling Gilbert Individual Limited Partnership Interest Jul 1, 2024
Larry M Sapetti Individual Limited Partnership Interest Jan 1, 2009
Christopher D Ryan Individual Limited Partnership Interest Jan 1, 2006
Aleksandr Kagan Individual Limited Partnership Interest Jan 1, 2018
Erin M Stone Individual Limited Partnership Interest Mar 1, 2011
Jason J McAllaster Individual Limited Partnership Interest Jan 1, 2016
Fadi Annaba Individual Limited Partnership Interest Jan 1, 2015
Rajesh Srinivasan Individual Limited Partnership Interest Jan 1, 2013
Ramanath Bhandari Individual Limited Partnership Interest Jan 1, 2016
Adrienne M Stich Individual Limited Partnership Interest Jan 1, 2020
Scott Preusen Individual Limited Partnership Interest Jan 1, 2024
Sufyan Said Individual Limited Partnership Interest Jan 1, 2011
Mark D Greatting Individual Limited Partnership Interest Jan 1, 1995
Geoffrey Andrew Bland Individual Limited Partnership Interest Jan 1, 1987
Naim N Khoury Individual Limited Partnership Interest Apr 1, 2023
Sajedabanu Momin Individual Limited Partnership Interest Jul 1, 2022
Hannah Purseglove Individual Limited Partnership Interest Oct 1, 2021
Tracy R Hendricks Individual Limited Partnership Interest Jan 1, 2014
Thomas J Duhig Individual Limited Partnership Interest Jan 1, 2021
Bradford L West Individual Limited Partnership Interest Jan 1, 2013
Katherine Stealey Individual Limited Partnership Interest Jan 1, 2011
Chetan Narasanna Gowda Individual Limited Partnership Interest Oct 1, 2021
Stanley E Allen Individual Limited Partnership Interest Jan 1, 2015
Rajan Kochar Individual Limited Partnership Interest Jan 1, 2016
Hayan Dayoub Individual Limited Partnership Interest Jan 1, 2022
Srinivasa R Kakumani Individual Limited Partnership Interest Jan 1, 2013
Matthew Evans Individual Limited Partnership Interest Jul 1, 2024
Gary B Western Individual Limited Partnership Interest Jan 1, 2006
Sapna Siddharth Individual Limited Partnership Interest Apr 1, 2025
Donald R Graham Individual Limited Partnership Interest Mar 1, 1982
Eric M Cox Individual Limited Partnership Interest Apr 1, 2024
Kaitlin D Henry Individual Limited Partnership Interest Jan 1, 2021
Patrick David Rhoades Individual Limited Partnership Interest Jul 1, 2021
Parth R Patel Individual Limited Partnership Interest Apr 1, 2023
David D Pittman Individual Limited Partnership Interest Jan 1, 2013
Trupesh a Chanpura Individual Limited Partnership Interest Jul 1, 2021
Betsy Butler Individual W-2 Managing EmployeeAssoc VP Provider Recruitment May 1, 2025
Brandon Snyder Individual Limited Partnership Interest Jul 1, 2021
Eswara R Kakarala Individual Limited Partnership Interest Jan 1, 2014
John Becker Individual Limited Partnership Interest Jul 1, 2021
Beth a Steh Individual Limited Partnership Interest Jan 1, 1996
Lynn Marie Kink Individual Limited Partnership Interest Jan 1, 2018
Sandipkumar M Patel Individual Limited Partnership Interest Jan 1, 2017
Jessica B Moja Individual Limited Partnership Interest Jan 1, 2020
Kolawole K Oyewole Individual Limited Partnership Interest Jan 1, 2023
Robert L Gordon Individual Limited Partnership Interest Jan 1, 2007
Daniel John Ferraro Individual Limited Partnership Interest Jul 1, 2020
Eric M High Individual Limited Partnership Interest Jan 1, 2015
Mosam Bhailalbhai Patel Individual Limited Partnership Interest Oct 1, 2024
Benjamin a Brooks Individual Limited Partnership Interest Jan 1, 2023
Dennis J Goldberg Individual Limited Partnership Interest Jan 1, 2025
Reuben Mari Valenzuela Individual Limited Partnership Interest Jan 1, 2025
Jennifer Deluka Individual Limited Partnership Interest Jan 1, 2017
Dylan Robert Afeld Individual Limited Partnership Interest Oct 1, 2020
Julie Anne Shepherd Individual Limited Partnership Interest Jan 1, 2024
Harshit D Shah Individual Limited Partnership Interest Oct 1, 2022
Ashley Norton-Gregory Individual Limited Partnership Interest Jul 1, 2024
Cecile E Becker Individual Limited Partnership Interest Jan 1, 2008
Lana Schmidt Individual Limited Partnership Interest Jan 1, 2016
Timothy Lenardo Individual Limited Partnership Interest Jan 1, 2024
Rishi Sharma Individual Limited Partnership Interest Jan 1, 2013
Jeff P Thompson Individual Limited Partnership Interest Jan 1, 2011
Rahul Nayani Individual Limited Partnership Interest Jan 1, 2021
Amit Kumar Gupta Individual Limited Partnership Interest Feb 1, 2010
Praveen K Mullangi Individual Limited Partnership Interest Jan 1, 2017
David T Cross Individual Limited Partnership Interest Oct 1, 2021
Olaoluwatomi Lamikanra Individual Limited Partnership Interest Oct 1, 2022
Ali Tariq Individual Limited Partnership Interest Oct 1, 2022
Dennis M Carroll Individual Limited Partnership Interest Jan 1, 1996
James W Thiele Individual Limited Partnership Interest Jan 1, 2005
Claudine Gillison Individual Limited Partnership Interest Jan 1, 2014
Purvi Patel Bhandari Individual Limited Partnership Interest Jan 1, 2016
Pranav Sharma Individual Limited Partnership Interest Apr 1, 2023
Jennifer Ann Schuermann Individual Limited Partnership Interest Oct 1, 2020
Randal J Peterson Individual Limited Partnership Interest Jan 1, 2020
Windie C McKay Individual Limited Partnership Interest Jan 1, 2018
Jeave Reserva Individual Limited Partnership Interest Oct 1, 2022
Gregory Maurer Individual Limited Partnership Interest Jan 1, 2023
Arun V Abraham Individual Limited Partnership Interest Jan 1, 2018
Katherine S Thompson Individual Limited Partnership Interest Jan 1, 2019
Marshall F Brustein Individual Limited Partnership Interest Jul 1, 2025
Lucinda a Hany Individual Limited Partnership Interest Mar 1, 2011
Dushyantkumar R Patel Individual Limited Partnership Interest Jan 1, 2013
Bhadreshkumar Mandani Individual Limited Partnership Interest Oct 1, 2021
Didar Singh Individual Limited Partnership Interest Oct 1, 2021
Steven S Tsoraides Individual Limited Partnership Interest Oct 1, 2020
Prasad B Patel Individual Limited Partnership Interest Oct 1, 2023
Shad D Beaty Individual Limited Partnership Interest Oct 1, 2023
Stephen Michael Holland Individual Limited Partnership Interest Jan 1, 2020
Dustin J Stehling Individual Limited Partnership Interest Jan 1, 2015
Christopher D Stortzum Individual Limited Partnership Interest Jan 1, 2015
Raymond L Castaldo Individual Limited Partnership Interest Jan 1, 1992
Orlando J Icaza Individual Limited Partnership Interest Jan 1, 2002
Eileen Figuerres Individual Limited Partnership Interest Jul 1, 2021
Taylor Tennill Individual Limited Partnership Interest Oct 1, 2020
Joel H Wietfeldt Individual Limited Partnership Interest Jan 1, 2015
Chadrick R Evans Individual Limited Partnership Interest Oct 1, 2020
Stephen J Smart Individual Limited Partnership Interest Jul 1, 2021
Philip J Abraham Individual Limited Partnership Interest Jan 1, 2013
Sailaja Mamilla Cheruku Individual Limited Partnership Interest Jan 1, 2007
Jeffrey R Horvath Individual Limited Partnership Interest Jan 1, 2001
Daniel L Shekleton Individual Limited Partnership Interest Jul 1, 2021
James Newman Individual Limited Partnership Interest Jan 1, 2020
Eric Anthony Bloemer Individual Limited Partnership Interest Jul 1, 2022
Cynthia D Marschner Individual Limited Partnership Interest Jan 1, 2020
Christopher B Ehrlich Individual Limited Partnership Interest Jan 1, 2007
Phyllis I Eze Individual Limited Partnership Interest Jan 1, 2015
Digantkumar Patel Individual Limited Partnership Interest Jul 1, 2022
Peter M Hofmann Individual Limited Partnership Interest Jan 1, 2008
Alyce F Ferrill Individual Limited Partnership Interest Mar 1, 2011
Veronica G Savage Individual Limited Partnership Interest Jan 1, 1998
Cheryl L Brown Individual Limited Partnership Interest Jan 1, 2006
Andrew Mills Individual Limited Partnership Interest Oct 1, 2024
Sarah Maureen Dietrich Yockey Individual Limited Partnership Interest Jan 1, 2000
Marc a Apostol Individual Limited Partnership Interest Jan 1, 2022
Benjamin W Stevens Individual Limited Partnership Interest Jan 1, 2013
Ruchi Gupta Individual Limited Partnership Interest Jan 1, 2021
Andrew D Lambert Individual Limited Partnership Interest Jan 1, 2011
Christopher Martinek Individual Limited Partnership Interest Jan 1, 2020
Benjamin W Cady Individual Limited Partnership Interest Jan 1, 2015
Allison E Mayfield Individual Limited Partnership Interest Jan 1, 2024
Kara Lynn McCoy Individual Limited Partnership Interest Jan 1, 2020
Leslie Jr Acakpo-Satchivi Individual Limited Partnership Interest Jan 1, 2014
Alison E Bilyeu Individual Limited Partnership Interest Jan 1, 2016
Paul W Phillips Individual Limited Partnership Interest Jan 1, 2012
Cathy Lomelino McAfee Individual Limited Partnership Interest Jan 1, 2011
Brett W Wolters Individual Limited Partnership Interest Jan 1, 2010
Lynne Duren Barkmeier Individual Limited Partnership Interest Jan 1, 2001
William D Putman Individual Limited Partnership Interest Jan 1, 1991
Kevin Hazard Individual Limited Partnership Interest Jan 1, 2011
John P Dimondo Individual Limited Partnership Interest Jan 1, 2007
Justin N Henry Individual Limited Partnership Interest Jan 1, 2021
Catherine Barteau Individual Limited Partnership Interest Jul 1, 2021
Ronald Hidalgo Individual Limited Partnership Interest Jul 1, 2021
Ashish Chopra Individual Limited Partnership Interest Jan 1, 2013
Joseph Baima Individual Limited Partnership Interest Jul 1, 2021
Idelle Maxine Woodson Individual Limited Partnership Interest Jan 1, 2022
David Tapscott Individual Limited Partnership Interest Oct 1, 2023
Daniel S Rossi Individual Limited Partnership Interest Jan 1, 2023
Heath Aaron Laughlin Individual Limited Partnership Interest Jul 1, 2021
Aileen W Zhen Individual Limited Partnership Interest Oct 1, 2023
Chad Gonczy Individual Limited Partnership Interest Jan 1, 2021
Misty Phillips Individual Limited Partnership Interest Jan 1, 2010
Lisa a Kowalski Individual Limited Partnership Interest Jan 1, 2016
Brad D Paris Individual Limited Partnership Interest Jan 1, 2012
Chaitanya Kumar Mamillapalli Individual Limited Partnership Interest Oct 1, 2020
Nasaraiah Nallamothu Individual Limited Partnership Interest Apr 1, 2025
Penelope a Ewbank Individual Limited Partnership Interest Jul 1, 2021
Joseph D Conlon Individual Limited Partnership Interest Jan 1, 2009
Scott Bilyeu Individual Limited Partnership Interest Apr 1, 2024
Rohan Jain Individual Limited Partnership Interest Jan 1, 2020
Renu C Govindaiah Individual Limited Partnership Interest Jan 1, 2009
Heather N Beal Individual Limited Partnership Interest Jan 1, 2009
Robin a Alley Individual Limited Partnership Interest Oct 1, 2020
Tyler a Evans Individual Limited Partnership Interest Apr 1, 2025
Shafat Sirajee Individual Limited Partnership Interest Oct 1, 2023
Lyndsey R Heise Individual Limited Partnership Interest Jan 1, 2024
Edward Price Odell Harter Individual Limited Partnership Interest Jul 1, 2021
Tejas Patel Individual Limited Partnership Interest Oct 1, 2021
Colleen Silva Individual Limited Partnership Interest Oct 1, 2024
Bhuvnesh Aggarwal Individual Limited Partnership Interest Oct 1, 2020
Adam Christopher King Individual Limited Partnership Interest Jul 1, 2021
Sunil Kumar Agarwal Individual Limited Partnership Interest Oct 1, 2020
Swapna Nekkanti Individual Limited Partnership Interest Oct 1, 2020
Mary Ludolph Individual Limited Partnership Interest Jul 1, 2021
Jennifer C Maneja Individual Limited Partnership Interest Jan 1, 2019
Nora Taylor Maczura Individual Limited Partnership Interest Jan 1, 2018
Bryan J Kellenberger Individual Limited Partnership Interest Jan 1, 2018
Jianjun Ma Individual Limited Partnership Interest Jan 1, 2015
Adam Norton Individual Limited Partnership Interest Jan 1, 2024
Justin Mark Brooks Individual Limited Partnership Interest Jul 1, 2021
Kenneth L Tuan Individual Limited Partnership Interest Jul 1, 2025
Daniel M Hallam Individual Limited Partnership Interest Jan 1, 2013
Aaron T Brewer Individual Limited Partnership Interest Jan 1, 2012
Rakshit Ramanath Shetty Individual Limited Partnership Interest Oct 1, 2022
Melissa Lynn Cox Individual Limited Partnership Interest Jan 1, 2005
Michael a Pick Individual Limited Partnership Interest Jan 1, 1989
Mark Thomas McKay Individual Limited Partnership Interest Jan 1, 2000
James R Stegeman Individual Limited Partnership Interest Jan 1, 1990
Pavinderpal S Gill Individual Limited Partnership Interest Jan 1, 2002
Vladimir a Lytchakov Individual Limited Partnership Interest Jan 1, 2011
Amy S Waschull Individual Limited Partnership Interest Jan 1, 2015
Bhavani Adusumilli Individual Limited Partnership Interest Jul 1, 2021
Robert E Weitzel Individual Limited Partnership Interest Jan 1, 2018
Mateusz Serafin Individual Limited Partnership Interest Jan 1, 2021
Andrew M Tomaw Individual Limited Partnership Interest Jul 1, 2022
Amanda M Obrien Individual Limited Partnership Interest Jan 1, 2023
Maryna Popp Individual Limited Partnership Interest Oct 1, 2022
Jillian Henry Individual Limited Partnership Interest Jan 1, 2023
Christopher Matthew Bradbury Individual Limited Partnership Interest Jul 1, 2020
Bridget Kistner Individual Limited Partnership Interest Jan 1, 2025
James K Fullerton Individual Limited Partnership Interest Jan 1, 2007
Aman Khurana Individual Limited Partnership Interest Apr 1, 2025
Murali Veluru Individual Limited Partnership Interest Jul 1, 2021
Jeffrey a Goldstein Individual Limited Partnership Interest Apr 1, 2025
Tina M Rozene Individual Limited Partnership Interest Jan 1, 2016
Casey Muehle Individual Limited Partnership Interest Jul 1, 2021
Matthew P Gardner Individual Limited Partnership Interest Jan 1, 2014
Kristen Michelle Green Individual Limited Partnership Interest Jan 1, 2003
Michelle R Reeves Individual Limited Partnership Interest Jan 1, 2015
Leslie a Dignan-Moore Individual Limited Partnership Interest Jan 1, 2012

Owners & managing parties with NPI records 301

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 301

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SC Home Health NFPSpringfield, IL, CCN 148187 Home health agency Operational/Managerial Control (100%) Jul 17, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1013255942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19248",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949248",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N OBANNON ST",
            "city": "RAYMOND",
            "state": "IL",
            "postal_code": "625605283",
            "telephone_number": "217-229-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CAL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CSO",
        "authorized_official_telephone_number": "217-528-7541"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raymond Rural Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raymond, IL

Sources for this page

Verify at the official NPI Registry.