Active NPI
Springfield Clinic LLP
- Rural Health Clinic/Center
- Raymond, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Partnership
- 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).
-
dba Springfield Clinic Rural Health Flora
- Rural Health Clinic/Center
- Flora, IL
- NPI 1053508960
0547166076
-
dba Springfield Clinic Rural Health Hillsboro West
- Rural Health Clinic/Center
- Hillsboro, IL
- NPI 1184982506
0547166076
-
dba Springfield Clinic Effingham Rural Health
- Rural Health Clinic/Center
- Effingham, IL
- NPI 1205023637
0547166076
-
dba Springfield Clinic Rural Health Newton
- Rural Health Clinic/Center
- Newton, IL
- NPI 1396931432
0547166076
-
dba Springfield Clinic Peoria ASC
- Ambulatory Surgical Clinic/Center
- Peoria, IL
- NPI 1528782042
0547166076
-
dba Springfield Clinic Jacksonville Rural Health
- Rural Health Clinic/Center
- Jacksonville, IL
- NPI 1598068793
0547166076
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Springfield Clinic Rural Health Hillsboro West
- Rural Health Clinic/Center
- Hillsboro, IL
- NPI 1184982506
O20031208000403
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0664452 | Springfield Clinic Raymond | Certificate of waiver | Aug 21, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Springield Clinic
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.
-
- Clinical Medical Laboratory
- Nokomis, IL
- NPI 1073743837
-
- Non-Pharmacy Dispensing Site
- Decatur, IL
- NPI 1154257400
-
- Clinical Medical Laboratory
- Springfield, IL
- NPI 1164680021
-
- Clinical Medical Laboratory
- Springfield, IL
- NPI 1124286976
-
dba Springfield Clinic Rural Health Flora
- Rural Health Clinic/Center
- Flora, IL
- NPI 1053508960
-
- Rural Health Clinic/Center
- Jacksonville, IL
- NPI 1073228664
-
- Non-Pharmacy Dispensing Site
- Jacksonville, IL
- NPI 1124531082
-
- Health Educator
- Springfield, IL
- NPI 1124785779
-
dba Springfield Clinic Neoga Lab
- Clinical Medical Laboratory
- Neoga, IL
- NPI 1174011092
-
- Clinical Medical Laboratory
- Macomb, IL
- NPI 1154719177
-
- Clinical Medical Laboratory
- Riverton, IL
- NPI 1184901167
-
- Clinical Medical Laboratory
- Springfield, IL
- NPI 1093973182
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Tara Z Bennett | Limited Partnership Interest | Mar 1, 2011 | |
| Stephen J Pineda | Limited Partnership Interest | Jan 1, 1999 | |
| Richard T Eden | Limited Partnership Interest | Jan 1, 2010 | |
| Murty S Renduchintala | Limited Partnership Interest | Jan 1, 2013 | |
| Xochitl L Garcia | Limited Partnership Interest | Apr 1, 2023 | |
| Justin Lee Fischer | Limited Partnership Interest | Oct 1, 2020 | |
| Jacob R Hopping | Limited Partnership Interest | Oct 1, 2020 | |
| Bridget E McIlwee | Limited Partnership Interest | Jan 1, 2022 | |
| Kelsey K Freitag | Limited Partnership Interest | Jul 1, 2022 | |
| Dakota Gilbert | Limited Partnership Interest | Jul 1, 2024 | |
| Sanjay Y Bangarulingam | Limited Partnership Interest | Oct 1, 2021 | |
| Molly K Lundy | Limited Partnership Interest | Apr 1, 2025 | |
| Paul E Pacheco | Limited Partnership Interest | Jan 1, 2015 | |
| William D Payne | Limited Partnership Interest | Jan 1, 2009 | |
| Todd D Elmore | Limited Partnership Interest | Jan 1, 2023 | |
| Calvin Moy | Limited Partnership Interest | Oct 1, 2022 | |
| Gwen Brooke Griffen | Limited Partnership Interest | Jan 1, 2018 | |
| Patrick Joseph Florido | Limited Partnership Interest | Jan 1, 2022 | |
| Abigail White | Limited Partnership Interest | Jan 1, 2018 | |
| Jeremiah S Reedy | Limited Partnership Interest | Jan 1, 2021 | |
| Stephen Morgan Ryan | Limited Partnership Interest | Jan 1, 1999 | |
| Toni M Quinn | Limited Partnership Interest | Jan 1, 2006 | |
| Stephanie Swope | Limited Partnership Interest | Jul 1, 2021 | |
| Xinyan Huang | Limited Partnership Interest | Jan 1, 2010 | |
| Muhammad F Khan | Limited Partnership Interest | Oct 1, 2021 | |
| Emily M Serafin | Limited Partnership Interest | Jan 1, 2021 | |
| Shuchi Shah | Limited Partnership Interest | Apr 1, 2024 | |
| Nicolas a Forero | Limited Partnership Interest | Jan 1, 2015 | |
| Hope E Knauer | Limited Partnership Interest | Jan 1, 2016 | |
| Pramila R Venigalla | Limited Partnership Interest | Jan 1, 2006 | |
| Sudha G Prasad | Limited Partnership Interest | Jan 1, 2012 | |
| Jason P Guthrie | Limited Partnership Interest | Jan 1, 2011 | |
| Chinelo C Echeazu | Limited Partnership Interest | Apr 1, 2023 | |
| Jac Cooper | Limited Partnership Interest | Jan 1, 2024 | |
| Randy L Western | Limited Partnership Interest | Jan 1, 1996 | |
| Mary Joelle Curry | Limited Partnership Interest | Jul 1, 2021 | |
| Aaron Konrad | Limited Partnership Interest | Jul 1, 2021 | |
| David L Crawford | Limited Partnership Interest | Oct 1, 2020 | |
| Scott a Mink | Limited Partnership Interest | Jan 1, 2005 | |
| Sean David Hayes | Limited Partnership Interest | Jan 1, 2019 | |
| Archana Nayani | Limited Partnership Interest | Oct 1, 2021 | |
| Aneesa Gaffar | General Partnership Interest | Jul 1, 2024 | |
| Robert Knudson | Limited Partnership Interest | Jul 1, 2021 | |
| Stephen Yuliang Chen | Limited Partnership Interest | Jan 1, 2017 | |
| Theodore J Paradowski | Limited Partnership Interest | Jan 1, 2014 | |
| Dmitry Shuster | Limited Partnership Interest | Jan 1, 2020 | |
| Preet Singh | Limited Partnership Interest | Jan 1, 2019 | |
| Joshua D Billington | Limited Partnership Interest | Jan 1, 2019 | |
| Bryan J Albracht | Limited Partnership Interest | Jan 1, 2000 | |
| Pratish Shah | Limited Partnership Interest | Jul 1, 2023 | |
| Marisa Blitstein | Limited Partnership Interest | Jul 1, 2021 | |
| Curt C Farr | Limited Partnership Interest | Jan 1, 2015 | |
| Megan J Forshee | Limited Partnership Interest | Jan 1, 2021 | |
| Kruti Desai | Limited Partnership Interest | Oct 1, 2021 | |
| Philip Garcia | Limited Partnership Interest | Jan 1, 1995 | |
| Roger S McClintock | Limited Partnership Interest | Jan 1, 2002 | |
| William L Peterson | Limited Partnership Interest | Jan 1, 2005 | |
| Tomasz P Srokowski | Limited Partnership Interest | Jan 1, 2012 | |
| Abigail Maciolek Cochran | Limited Partnership Interest | Jan 1, 2022 | |
| Piero Capecci | Limited Partnership Interest | Jan 1, 2018 | |
| Cal Thomas | Corporate Officer | Jul 1, 2022 | |
| Robert Pearson Schuh | Limited Partnership Interest | Jul 1, 2021 | |
| Nileshkumar J Patel | Limited Partnership Interest | Oct 1, 2021 | |
| Koteswara Rao Narla | Limited Partnership Interest | Jan 1, 2000 | |
| Raj K Sinha | Limited Partnership Interest | Jan 1, 2005 | |
| Amy E Hall | Limited Partnership Interest | Mar 1, 2011 | |
| Richa Pandey | Limited Partnership Interest | Jan 1, 2018 | |
| Dhiren Bhagubhai Patel | Limited Partnership Interest | Jan 1, 2021 | |
| Marc R Dejong | Limited Partnership Interest | Jan 1, 2017 | |
| Seetal Kakumani | Limited Partnership Interest | Jan 1, 2013 | |
| Joseph Standard | Limited Partnership Interest | Apr 1, 2024 | |
| Shyam Kiran Gandam Venkata | Limited Partnership Interest | Oct 1, 2022 | |
| Janda T Stevens | Limited Partnership Interest | Jan 1, 2025 | |
| Vivianne C Beyer | Limited Partnership Interest | Jan 1, 2016 | |
| Saurabh Jha | Limited Partnership Interest | Jan 1, 2021 | |
| Solmaz Bauk | Limited Partnership Interest | Jul 1, 2021 | |
| Praveen Garg | Limited Partnership Interest | Oct 1, 2020 | |
| Kenneth R Sagins | Limited Partnership Interest | Jan 1, 1999 | |
| Santhi B Arikati | Limited Partnership Interest | Jul 1, 2021 | |
| Ahmad Mohamad | Limited Partnership Interest | Oct 1, 2024 | |
| Ghanshyambhai Savani | Limited Partnership Interest | Jul 1, 2022 | |
| Randall James Brenneman | Limited Partnership Interest | Jul 1, 2025 | |
| Gregory E Clem | Limited Partnership Interest | Jan 1, 1997 | |
| Gaurav Sangwan | Limited Partnership Interest | Jan 1, 2014 | |
| Mehdi Shahidi | Limited Partnership Interest | Apr 1, 2024 | |
| Gretchen Gibbs | Limited Partnership Interest | Jan 1, 2018 | |
| David J Kowalski | Limited Partnership Interest | Jan 1, 2016 | |
| Neha N Amin | Limited Partnership Interest | Jan 1, 2023 | |
| Alison C. Rinaberger | Limited Partnership Interest | Jan 1, 2018 | |
| Brian C Baumann | Limited Partnership Interest | Apr 1, 2024 | |
| Natalie Anne Mahoney | Limited Partnership Interest | Apr 1, 2022 | |
| Mary K Campbell | Limited Partnership Interest | Jan 1, 2000 | |
| Grant W Su | Limited Partnership Interest | Jan 1, 2010 | |
| Steven D Omarro | Limited Partnership Interest | Jan 1, 1993 | |
| Gabor Matos | Limited Partnership Interest | Apr 1, 2025 | |
| Namita Vinayek | Limited Partnership Interest | Jan 1, 2017 | |
| Christopher E Wottowa | Limited Partnership Interest | Jan 1, 1998 | |
| Maureen Brianne O'Marro | Limited Partnership Interest | Oct 1, 2022 | |
| Abigail Buerkett | Limited Partnership Interest | Jan 1, 2025 | |
| Matthew L Peecher | Limited Partnership Interest | Jan 1, 2021 | |
| Elizabeth E Obrien | Limited Partnership Interest | Jan 1, 2011 | |
| Samir Patel | Limited Partnership Interest | Jan 1, 2006 | |
| Kanchan Gupta | Limited Partnership Interest | Jul 1, 2021 | |
| Elizabeth D Woodward | Limited Partnership Interest | Jan 1, 2015 | |
| Lindsey Anne Harden Atwood | Limited Partnership Interest | Jul 1, 2025 | |
| Molly Etling Gilbert | Limited Partnership Interest | Jul 1, 2024 | |
| Larry M Sapetti | Limited Partnership Interest | Jan 1, 2009 | |
| Christopher D Ryan | Limited Partnership Interest | Jan 1, 2006 | |
| Aleksandr Kagan | Limited Partnership Interest | Jan 1, 2018 | |
| Erin M Stone | Limited Partnership Interest | Mar 1, 2011 | |
| Jason J McAllaster | Limited Partnership Interest | Jan 1, 2016 | |
| Fadi Annaba | Limited Partnership Interest | Jan 1, 2015 | |
| Rajesh Srinivasan | Limited Partnership Interest | Jan 1, 2013 | |
| Ramanath Bhandari | Limited Partnership Interest | Jan 1, 2016 | |
| Adrienne M Stich | Limited Partnership Interest | Jan 1, 2020 | |
| Scott Preusen | Limited Partnership Interest | Jan 1, 2024 | |
| Sufyan Said | Limited Partnership Interest | Jan 1, 2011 | |
| Mark D Greatting | Limited Partnership Interest | Jan 1, 1995 | |
| Geoffrey Andrew Bland | Limited Partnership Interest | Jan 1, 1987 | |
| Naim N Khoury | Limited Partnership Interest | Apr 1, 2023 | |
| Sajedabanu Momin | Limited Partnership Interest | Jul 1, 2022 | |
| Hannah Purseglove | Limited Partnership Interest | Oct 1, 2021 | |
| Tracy R Hendricks | Limited Partnership Interest | Jan 1, 2014 | |
| Thomas J Duhig | Limited Partnership Interest | Jan 1, 2021 | |
| Bradford L West | Limited Partnership Interest | Jan 1, 2013 | |
| Katherine Stealey | Limited Partnership Interest | Jan 1, 2011 | |
| Chetan Narasanna Gowda | Limited Partnership Interest | Oct 1, 2021 | |
| Stanley E Allen | Limited Partnership Interest | Jan 1, 2015 | |
| Rajan Kochar | Limited Partnership Interest | Jan 1, 2016 | |
| Hayan Dayoub | Limited Partnership Interest | Jan 1, 2022 | |
| Srinivasa R Kakumani | Limited Partnership Interest | Jan 1, 2013 | |
| Matthew Evans | Limited Partnership Interest | Jul 1, 2024 | |
| Gary B Western | Limited Partnership Interest | Jan 1, 2006 | |
| Sapna Siddharth | Limited Partnership Interest | Apr 1, 2025 | |
| Donald R Graham | Limited Partnership Interest | Mar 1, 1982 | |
| Eric M Cox | Limited Partnership Interest | Apr 1, 2024 | |
| Kaitlin D Henry | Limited Partnership Interest | Jan 1, 2021 | |
| Patrick David Rhoades | Limited Partnership Interest | Jul 1, 2021 | |
| Parth R Patel | Limited Partnership Interest | Apr 1, 2023 | |
| David D Pittman | Limited Partnership Interest | Jan 1, 2013 | |
| Trupesh a Chanpura | Limited Partnership Interest | Jul 1, 2021 | |
| Betsy Butler | W-2 Managing Employee | May 1, 2025 | |
| Brandon Snyder | Limited Partnership Interest | Jul 1, 2021 | |
| Eswara R Kakarala | Limited Partnership Interest | Jan 1, 2014 | |
| John Becker | Limited Partnership Interest | Jul 1, 2021 | |
| Beth a Steh | Limited Partnership Interest | Jan 1, 1996 | |
| Lynn Marie Kink | Limited Partnership Interest | Jan 1, 2018 | |
| Sandipkumar M Patel | Limited Partnership Interest | Jan 1, 2017 | |
| Jessica B Moja | Limited Partnership Interest | Jan 1, 2020 | |
| Kolawole K Oyewole | Limited Partnership Interest | Jan 1, 2023 | |
| Robert L Gordon | Limited Partnership Interest | Jan 1, 2007 | |
| Daniel John Ferraro | Limited Partnership Interest | Jul 1, 2020 | |
| Eric M High | Limited Partnership Interest | Jan 1, 2015 | |
| Mosam Bhailalbhai Patel | Limited Partnership Interest | Oct 1, 2024 | |
| Benjamin a Brooks | Limited Partnership Interest | Jan 1, 2023 | |
| Dennis J Goldberg | Limited Partnership Interest | Jan 1, 2025 | |
| Reuben Mari Valenzuela | Limited Partnership Interest | Jan 1, 2025 | |
| Jennifer Deluka | Limited Partnership Interest | Jan 1, 2017 | |
| Dylan Robert Afeld | Limited Partnership Interest | Oct 1, 2020 | |
| Julie Anne Shepherd | Limited Partnership Interest | Jan 1, 2024 | |
| Harshit D Shah | Limited Partnership Interest | Oct 1, 2022 | |
| Ashley Norton-Gregory | Limited Partnership Interest | Jul 1, 2024 | |
| Cecile E Becker | Limited Partnership Interest | Jan 1, 2008 | |
| Lana Schmidt | Limited Partnership Interest | Jan 1, 2016 | |
| Timothy Lenardo | Limited Partnership Interest | Jan 1, 2024 | |
| Rishi Sharma | Limited Partnership Interest | Jan 1, 2013 | |
| Jeff P Thompson | Limited Partnership Interest | Jan 1, 2011 | |
| Rahul Nayani | Limited Partnership Interest | Jan 1, 2021 | |
| Amit Kumar Gupta | Limited Partnership Interest | Feb 1, 2010 | |
| Praveen K Mullangi | Limited Partnership Interest | Jan 1, 2017 | |
| David T Cross | Limited Partnership Interest | Oct 1, 2021 | |
| Olaoluwatomi Lamikanra | Limited Partnership Interest | Oct 1, 2022 | |
| Ali Tariq | Limited Partnership Interest | Oct 1, 2022 | |
| Dennis M Carroll | Limited Partnership Interest | Jan 1, 1996 | |
| James W Thiele | Limited Partnership Interest | Jan 1, 2005 | |
| Claudine Gillison | Limited Partnership Interest | Jan 1, 2014 | |
| Purvi Patel Bhandari | Limited Partnership Interest | Jan 1, 2016 | |
| Pranav Sharma | Limited Partnership Interest | Apr 1, 2023 | |
| Jennifer Ann Schuermann | Limited Partnership Interest | Oct 1, 2020 | |
| Randal J Peterson | Limited Partnership Interest | Jan 1, 2020 | |
| Windie C McKay | Limited Partnership Interest | Jan 1, 2018 | |
| Jeave Reserva | Limited Partnership Interest | Oct 1, 2022 | |
| Gregory Maurer | Limited Partnership Interest | Jan 1, 2023 | |
| Arun V Abraham | Limited Partnership Interest | Jan 1, 2018 | |
| Katherine S Thompson | Limited Partnership Interest | Jan 1, 2019 | |
| Marshall F Brustein | Limited Partnership Interest | Jul 1, 2025 | |
| Lucinda a Hany | Limited Partnership Interest | Mar 1, 2011 | |
| Dushyantkumar R Patel | Limited Partnership Interest | Jan 1, 2013 | |
| Bhadreshkumar Mandani | Limited Partnership Interest | Oct 1, 2021 | |
| Didar Singh | Limited Partnership Interest | Oct 1, 2021 | |
| Steven S Tsoraides | Limited Partnership Interest | Oct 1, 2020 | |
| Prasad B Patel | Limited Partnership Interest | Oct 1, 2023 | |
| Shad D Beaty | Limited Partnership Interest | Oct 1, 2023 | |
| Stephen Michael Holland | Limited Partnership Interest | Jan 1, 2020 | |
| Dustin J Stehling | Limited Partnership Interest | Jan 1, 2015 | |
| Christopher D Stortzum | Limited Partnership Interest | Jan 1, 2015 | |
| Raymond L Castaldo | Limited Partnership Interest | Jan 1, 1992 | |
| Orlando J Icaza | Limited Partnership Interest | Jan 1, 2002 | |
| Eileen Figuerres | Limited Partnership Interest | Jul 1, 2021 | |
| Taylor Tennill | Limited Partnership Interest | Oct 1, 2020 | |
| Joel H Wietfeldt | Limited Partnership Interest | Jan 1, 2015 | |
| Chadrick R Evans | Limited Partnership Interest | Oct 1, 2020 | |
| Stephen J Smart | Limited Partnership Interest | Jul 1, 2021 | |
| Philip J Abraham | Limited Partnership Interest | Jan 1, 2013 | |
| Sailaja Mamilla Cheruku | Limited Partnership Interest | Jan 1, 2007 | |
| Jeffrey R Horvath | Limited Partnership Interest | Jan 1, 2001 | |
| Daniel L Shekleton | Limited Partnership Interest | Jul 1, 2021 | |
| James Newman | Limited Partnership Interest | Jan 1, 2020 | |
| Eric Anthony Bloemer | Limited Partnership Interest | Jul 1, 2022 | |
| Cynthia D Marschner | Limited Partnership Interest | Jan 1, 2020 | |
| Christopher B Ehrlich | Limited Partnership Interest | Jan 1, 2007 | |
| Phyllis I Eze | Limited Partnership Interest | Jan 1, 2015 | |
| Digantkumar Patel | Limited Partnership Interest | Jul 1, 2022 | |
| Peter M Hofmann | Limited Partnership Interest | Jan 1, 2008 | |
| Alyce F Ferrill | Limited Partnership Interest | Mar 1, 2011 | |
| Veronica G Savage | Limited Partnership Interest | Jan 1, 1998 | |
| Cheryl L Brown | Limited Partnership Interest | Jan 1, 2006 | |
| Andrew Mills | Limited Partnership Interest | Oct 1, 2024 | |
| Sarah Maureen Dietrich Yockey | Limited Partnership Interest | Jan 1, 2000 | |
| Marc a Apostol | Limited Partnership Interest | Jan 1, 2022 | |
| Benjamin W Stevens | Limited Partnership Interest | Jan 1, 2013 | |
| Ruchi Gupta | Limited Partnership Interest | Jan 1, 2021 | |
| Andrew D Lambert | Limited Partnership Interest | Jan 1, 2011 | |
| Christopher Martinek | Limited Partnership Interest | Jan 1, 2020 | |
| Benjamin W Cady | Limited Partnership Interest | Jan 1, 2015 | |
| Allison E Mayfield | Limited Partnership Interest | Jan 1, 2024 | |
| Kara Lynn McCoy | Limited Partnership Interest | Jan 1, 2020 | |
| Leslie Jr Acakpo-Satchivi | Limited Partnership Interest | Jan 1, 2014 | |
| Alison E Bilyeu | Limited Partnership Interest | Jan 1, 2016 | |
| Paul W Phillips | Limited Partnership Interest | Jan 1, 2012 | |
| Cathy Lomelino McAfee | Limited Partnership Interest | Jan 1, 2011 | |
| Brett W Wolters | Limited Partnership Interest | Jan 1, 2010 | |
| Lynne Duren Barkmeier | Limited Partnership Interest | Jan 1, 2001 | |
| William D Putman | Limited Partnership Interest | Jan 1, 1991 | |
| Kevin Hazard | Limited Partnership Interest | Jan 1, 2011 | |
| John P Dimondo | Limited Partnership Interest | Jan 1, 2007 | |
| Justin N Henry | Limited Partnership Interest | Jan 1, 2021 | |
| Catherine Barteau | Limited Partnership Interest | Jul 1, 2021 | |
| Ronald Hidalgo | Limited Partnership Interest | Jul 1, 2021 | |
| Ashish Chopra | Limited Partnership Interest | Jan 1, 2013 | |
| Joseph Baima | Limited Partnership Interest | Jul 1, 2021 | |
| Idelle Maxine Woodson | Limited Partnership Interest | Jan 1, 2022 | |
| David Tapscott | Limited Partnership Interest | Oct 1, 2023 | |
| Daniel S Rossi | Limited Partnership Interest | Jan 1, 2023 | |
| Heath Aaron Laughlin | Limited Partnership Interest | Jul 1, 2021 | |
| Aileen W Zhen | Limited Partnership Interest | Oct 1, 2023 | |
| Chad Gonczy | Limited Partnership Interest | Jan 1, 2021 | |
| Misty Phillips | Limited Partnership Interest | Jan 1, 2010 | |
| Lisa a Kowalski | Limited Partnership Interest | Jan 1, 2016 | |
| Brad D Paris | Limited Partnership Interest | Jan 1, 2012 | |
| Chaitanya Kumar Mamillapalli | Limited Partnership Interest | Oct 1, 2020 | |
| Nasaraiah Nallamothu | Limited Partnership Interest | Apr 1, 2025 | |
| Penelope a Ewbank | Limited Partnership Interest | Jul 1, 2021 | |
| Joseph D Conlon | Limited Partnership Interest | Jan 1, 2009 | |
| Scott Bilyeu | Limited Partnership Interest | Apr 1, 2024 | |
| Rohan Jain | Limited Partnership Interest | Jan 1, 2020 | |
| Renu C Govindaiah | Limited Partnership Interest | Jan 1, 2009 | |
| Heather N Beal | Limited Partnership Interest | Jan 1, 2009 | |
| Robin a Alley | Limited Partnership Interest | Oct 1, 2020 | |
| Tyler a Evans | Limited Partnership Interest | Apr 1, 2025 | |
| Shafat Sirajee | Limited Partnership Interest | Oct 1, 2023 | |
| Lyndsey R Heise | Limited Partnership Interest | Jan 1, 2024 | |
| Edward Price Odell Harter | Limited Partnership Interest | Jul 1, 2021 | |
| Tejas Patel | Limited Partnership Interest | Oct 1, 2021 | |
| Colleen Silva | Limited Partnership Interest | Oct 1, 2024 | |
| Bhuvnesh Aggarwal | Limited Partnership Interest | Oct 1, 2020 | |
| Adam Christopher King | Limited Partnership Interest | Jul 1, 2021 | |
| Sunil Kumar Agarwal | Limited Partnership Interest | Oct 1, 2020 | |
| Swapna Nekkanti | Limited Partnership Interest | Oct 1, 2020 | |
| Mary Ludolph | Limited Partnership Interest | Jul 1, 2021 | |
| Jennifer C Maneja | Limited Partnership Interest | Jan 1, 2019 | |
| Nora Taylor Maczura | Limited Partnership Interest | Jan 1, 2018 | |
| Bryan J Kellenberger | Limited Partnership Interest | Jan 1, 2018 | |
| Jianjun Ma | Limited Partnership Interest | Jan 1, 2015 | |
| Adam Norton | Limited Partnership Interest | Jan 1, 2024 | |
| Justin Mark Brooks | Limited Partnership Interest | Jul 1, 2021 | |
| Kenneth L Tuan | Limited Partnership Interest | Jul 1, 2025 | |
| Daniel M Hallam | Limited Partnership Interest | Jan 1, 2013 | |
| Aaron T Brewer | Limited Partnership Interest | Jan 1, 2012 | |
| Rakshit Ramanath Shetty | Limited Partnership Interest | Oct 1, 2022 | |
| Melissa Lynn Cox | Limited Partnership Interest | Jan 1, 2005 | |
| Michael a Pick | Limited Partnership Interest | Jan 1, 1989 | |
| Mark Thomas McKay | Limited Partnership Interest | Jan 1, 2000 | |
| James R Stegeman | Limited Partnership Interest | Jan 1, 1990 | |
| Pavinderpal S Gill | Limited Partnership Interest | Jan 1, 2002 | |
| Vladimir a Lytchakov | Limited Partnership Interest | Jan 1, 2011 | |
| Amy S Waschull | Limited Partnership Interest | Jan 1, 2015 | |
| Bhavani Adusumilli | Limited Partnership Interest | Jul 1, 2021 | |
| Robert E Weitzel | Limited Partnership Interest | Jan 1, 2018 | |
| Mateusz Serafin | Limited Partnership Interest | Jan 1, 2021 | |
| Andrew M Tomaw | Limited Partnership Interest | Jul 1, 2022 | |
| Amanda M Obrien | Limited Partnership Interest | Jan 1, 2023 | |
| Maryna Popp | Limited Partnership Interest | Oct 1, 2022 | |
| Jillian Henry | Limited Partnership Interest | Jan 1, 2023 | |
| Christopher Matthew Bradbury | Limited Partnership Interest | Jul 1, 2020 | |
| Bridget Kistner | Limited Partnership Interest | Jan 1, 2025 | |
| James K Fullerton | Limited Partnership Interest | Jan 1, 2007 | |
| Aman Khurana | Limited Partnership Interest | Apr 1, 2025 | |
| Murali Veluru | Limited Partnership Interest | Jul 1, 2021 | |
| Jeffrey a Goldstein | Limited Partnership Interest | Apr 1, 2025 | |
| Tina M Rozene | Limited Partnership Interest | Jan 1, 2016 | |
| Casey Muehle | Limited Partnership Interest | Jul 1, 2021 | |
| Matthew P Gardner | Limited Partnership Interest | Jan 1, 2014 | |
| Kristen Michelle Green | Limited Partnership Interest | Jan 1, 2003 | |
| Michelle R Reeves | Limited Partnership Interest | Jan 1, 2015 | |
| Leslie a Dignan-Moore | 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.
-
- Family Medicine Physician
- Springfield, IL
- NPI 1508020546
Limited Partnership Interest
-
- Pulmonary Disease Physician
- Springfield, IL
- NPI 1548375629
Limited Partnership Interest
-
- Neurological Surgery Physician
- Springfield, IL
- NPI 1821042680
Limited Partnership Interest
-
- Nephrology Physician
- Springfield, IL
- NPI 1568792604
Limited Partnership Interest
-
- Pain Medicine (Anesthesiology) Physician
- Springfield, IL
- NPI 1205279353
Limited Partnership Interest
-
- Interventional Cardiology Physician
- Springfield, IL
- NPI 1710204334
Limited Partnership Interest
-
- Interventional Cardiology Physician
- Springfield, IL
- NPI 1760770101
Limited Partnership Interest
-
- Family Medicine Physician
- Springfield, IL
- NPI 1568572931
Limited Partnership Interest
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1285631127
Limited Partnership Interest
-
- Gastroenterology Physician
- Springfield, IL
- NPI 1154353217
Limited Partnership Interest
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| SC Home Health NFP | 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.
-
- Home Health Agency
- Springfield, IL
- NPI 1235817487
Operational/Managerial Control
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.
-
- Family Medicine Physician
- Hillsboro, IL
- NPI 1346689114
-
- Family Medicine Physician
- Decatur, IL
- NPI 1518050095
-
- Family Medicine Physician
- Hillsboro, IL
- NPI 1023515921
-
- Family Medicine Physician
- Hillsboro, IL
- NPI 1669979456
-
- Family Nurse Practitioner
- Hillsboro, IL
- NPI 1447643341
-
- Family Nurse Practitioner
- Hillsboro, IL
- NPI 1417300278
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
- Deborah Kay Langham, REGISTERED NURSE
- Lincoln Recovery LLC
- Maurice E Sullivan (Sullivan Drug of Raymond)
- Panhandle Cusd 2
- Raymond Harvel Area Ambulance Service
- Maurice E Sullivan, R. PH.
- Sunshine Behavioral Health Group LLC (Lincoln Recovery LLC)
- Telehelp LLC
- Samantha Jo Whitten, CADC
- Mark A Wood, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.