Individual provider Active NPI

James Richard Haliburton, MD

  • Psychiatry Physician
  • Springfield, IL
National Provider Identifier
1063737021
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.175822 Issued in IL
Practice address
319 E Madison St FL 3
Springfield, IL 62701-1035
Phone
(217) 545-8000
Fax
(217) 545-2275
NPI assigned
Apr 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Q3884 TX
Psychiatry Physician 2084P0800X 036.175822 IL Primary

Addresses

Primary practice location

319 E Madison St FL 3
Springfield, IL 62701-1035

Mailing address

PO Box 19369
Springfield, IL 62794-9369
Phone (217) 545-8000

Other practice location 1

601 E San Antonio St
403 West
Victoria, TX 77901-6004
Phone (361) 582-4187

Other practice location 2

710 N 8th St
Springfield, IL 62702-6324
Phone (217) 525-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150818004022 TX Practitioner - Psychiatry 3577788355 Reassigns benefits to 1 organization
I20250807000916 IL Practitioner - Psychiatry 3577788355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas Tech University Health Science Center School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siu Physicians and Surgeons IncGroup PAC ID 2365352820, 316 clinicians

Practice addresses (Care Compare)

319 E Madison St
FL 3
Springfield, IL 62701-1035
Phone (217) 545-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.175822ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Jul 29, 2025 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Aug 1, 2015 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Jul 29, 2025 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Jul 29, 2025 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Jun 1, 2018 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Aug 1, 2015 Accepting new patients
Siu Physicians & Surgeons, Inc Psychiatry CurrentSince Jul 29, 2025 Accepting new patients

Locations

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100

319 E Madison St
Fl 3
Springfield, IL 62701
Phone (217) 545-7627

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

601 E San Antonio St
Ste 403W
Victoria, TX 77901
Phone (361) 582-4187

601 E San Antonio St
Ste 402W
Victoria, TX 77901
Phone (361) 485-9600

Interoperability endpoints

  • Direct secure messaging: jameshaliburton@siusm.allscriptsdirect.net

Organizations & group practices 9

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 2

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1063737021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19369",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949369",
            "telephone_number": "217-545-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E MADISON ST FL 3",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011035",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E San Antonio St",
            "address_2": "403 West",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779016004",
            "country_code": "US",
            "telephone_number": "361-582-4187",
            "fax_number": "361-582-4172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627026324",
            "country_code": "US",
            "telephone_number": "217-525-1064",
            "fax_number": "217-525-1503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALIBURTON",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q3884",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.175822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.