Individual provider Active NPI

Sue Jane Volarich, D.O.

  • Diagnostic Radiology Physician
  • Springfield, IL
National Provider Identifier
1063462885
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036090359 Issued in IL
Practice address
611 N 6TH St
Springfield, IL 62702-5327
Phone
(217) 544-2149
Fax
(217) 544-9553
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036090359 IL Primary
Vascular & Interventional Radiology Physician 2085R0204X 036090359 IL

Addresses

Primary practice location

611 N 6TH St
Springfield, IL 62702-5327

Mailing address

111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (097) 404-2723

Other practice location 1

800 E Carpenter St
Springfield, IL 62769-5327
Phone (217) 544-6464

Other identifiers 2

IdentifierTypeStateIssuer
P00307171OtherILRR MEDICARE
P00324250OtherILRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060522000110 IL Practitioner - Diagnostic Radiology 4082604483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia School of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

1215 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 324-2191

12866 Troxler Ave
Highland, IL 62249-2806
Phone (309) 740-4272

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (309) 740-4272

200 Health Care Dr
Greenville, IL 62246-1154
Phone (309) 740-4272

200 S Cedar St
Shelbyville, IL 62565-1838
Phone (217) 774-3961

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5522

400 N 9TH St
Springfield, IL 62702-5310
Phone (217) 544-6464

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 342-2121

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 740-4272

530 Neglen Oak Ave
Peoria, IL 61636-0001
Phone (309) 655-2000

818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-2177

9515 Holy Cross LN
Breese, IL 62230-3618
Phone (309) 740-4272

Hospital & facility affiliations

  • St Johns Hospital Hospital, Springfield, IL, CCN 140053
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • St Josephs Hospital Hospital, Breese, IL, CCN 140145
  • St Francis Hospital Hospital, Litchfield, IL, CCN 141350
  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEMPINMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Jan 28, 2013 Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
National Radiology Group, LLC Diagnostic Radiology PastSince Apr 9, 2002 Accepting new patients
Springfield Radiologists SC Diagnostic Radiology Past Accepting new patients

Locations

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

530neglen Oak Ave
Peoria, IL 61636
Phone (309) 685-1054

111 Oakwood Rd
Peoria, IL 61611
Phone (586) 412-4144

319 E Madison St
Springfield, IL 62701
Phone (217) 545-7627

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1063462885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OAKWOOD RD",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111853",
            "telephone_number": "097-404-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025327",
            "telephone_number": "217-544-2149",
            "fax_number": "217-544-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Carpenter St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627695327",
            "country_code": "US",
            "telephone_number": "217-544-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLARICH",
        "first_name": "SUE",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036090359",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036090359",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00307171",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00324250",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.