Individual provider Active NPI

Vibhu Dhawan, MD

  • Internal Medicine Physician
  • Belleville, IL
National Provider Identifier
1033315965
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53839 Issued in AZ
Practice address
4500 Memorial Dr
Belleville, IL 62226-5360
Phone
(618) 257-6220
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 19123 NV
Pediatrics Physician 208000000X 036117862 IL
Nephrology Physician 207RN0300X 036117862 IL
Internal Medicine Physician 207R00000X 036117862 IL
Hospitalist Physician 208M00000X 2011011351 MO
Internal Medicine Physician 207R00000X 53839 AZ Primary
Hospitalist Physician 208M00000X 036117862 IL

Addresses

Primary practice location

4500 Memorial Dr
Belleville, IL 62226-5360

Mailing address

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (573) 825-2413

Other practice location 1

701 N 1st St
Springfield, IL 62781-0001
Phone (217) 528-7541

Other practice location 2

2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778
Phone (702) 732-2438

Other identifiers 5

IdentifierTypeStateIssuer
809840OtherILMEDICARE GROUP #
036117862MedicaidIL
CA4079OtherILRR MEDICARE GROUP PTAN
P00617102OtherILRR MEDICARE GROUP MEMBER PTAN
1033315965MedicaidNV

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address vdhawan35756@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, GA, NV, AZ5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20080722000262 IL Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 6901979111 Reassigns benefits to 5 organizations
I20140612000072 MO Practitioner - Internal MedicinePractitioner - Nephrology 6901979111 Reassigns benefits to 1 organization
I20200301000008 GA Practitioner - Internal Medicine 6901979111 Reassigns benefits to 2 organizations
I20210113003017 NV Practitioner - NephrologyPractitioner - Internal Medicine 6901979111 Reassigns benefits to 1 organization
I20210928001766 AZ Practitioner - Internal Medicine 6901979111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians
Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians

Practice addresses (Care Compare)

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 229-2657

775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300

800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036117862ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Aug 15, 2017 Accepting new patients
Piedmont Hospitalist Physicians LLC Internal Medicine CurrentSince May 30, 2024 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist CurrentSince May 2, 2022 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
Deaconess Hospital Inc Hospitalist CurrentSince Aug 3, 2024 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Jan 22, 2017 Accepting new patients
App of Southern Arizona HM LLC Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist CurrentSince May 2, 2022 Accepting new patients
Nkdhc Rudnitsky PLLC Nephrology CurrentSince Jan 31, 2021 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Jan 22, 2017 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Oct 7, 2025 Accepting new patients
Deaconess Hospital Inc CurrentSince Aug 3, 2024 Accepting new patients
Houston Hospitalist Group LLC Hospitalist CurrentSince May 1, 2020 Accepting new patients
Northwest HBP Medical Services LLC Hospitalist CurrentSince Jul 22, 2023 Accepting new patients
Houston Hospitalist Group LLC Hospitalist Current Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine CurrentSince Oct 7, 2025 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Springfield Clinic, LLP CurrentSince Mar 1, 2026 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince May 20, 2017 Accepting new patients
Bullhead City Hospital Corporation Past Accepting new patients

Locations (25 of 26)

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

11133 Dunn Rd
#2427
Saint Louis, MO 63136
Phone (314) 653-5643

2543 S Bruce St
Ste 200
Las Vegas, NV 89169
Phone (702) 732-2438

2450 Fire Mesa St
Ste 110
Las Vegas, NV 89128
Phone (702) 853-0090

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: vdhawan35756@direct.acumenmd.com
  • Direct secure messaging: vdhawan133028@direct.carenet.org

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1033315965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "573-825-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "618-257-6220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627810001",
            "country_code": "US",
            "telephone_number": "217-528-7541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 S Bruce St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891691778",
            "country_code": "US",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "VIBHU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "19123",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036117862",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036117862",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036117862",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2011011351",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "53839",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036117862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "809840",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117862",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PTAN",
            "identifier": "CA4079",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP MEMBER PTAN",
            "identifier": "P00617102",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033315965",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdhawan35756@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "2545 S Bruce St Ste 200",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891691778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.