Active NPI
Vibhu Dhawan, MD
- Internal Medicine Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 53839
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 809840 | Other | IL | MEDICARE GROUP # |
| 036117862 | Medicaid | IL | |
| CA4079 | Other | IL | RR MEDICARE GROUP PTAN |
| P00617102 | Other | IL | RR MEDICARE GROUP MEMBER PTAN |
| 1033315965 | Medicaid | NV |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036117862 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Arizona LLC | Hospitalist | Current | Accepting new patients |
| Cep America-Illinois Hospitalists, LLP | Internal Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Hospitalist | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| App of Southern Arizona HM LLC | Hospitalist | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Arizona, LLC | Hospitalist | Current | Accepting new patients |
| Nkdhc Rudnitsky PLLC | Nephrology | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists | Hospitalist | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Northwest HBP Medical Services LLC | Hospitalist | Current | Accepting new patients |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Cep America-Illinois Hospitalists, LLP | Internal Medicine | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- vdhawan35756@direct.acumenmd.com
- 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.
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
Hospitalist
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Hospitalist Physician
- Mesa, AZ
- NPI 1689909780
-
- Hospitalist Physician
- Warner Robins, GA
- NPI 1962040147
-
- Nephrology Physician
- Las Vegas, NV
- NPI 1265831432
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
Internal Medicine
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
IL, Internal Medicine
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Internal Medicine Physician
- Litchfield, IL
- NPI 1336916808
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Shelbyville, IL
- NPI 1053348532
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
-
- General Acute Care Hospital
- Sahuarita, AZ
- NPI 1851927669
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.