Active NPI
Todd E Vonderheide, MD
- Family Medicine Physician
- Freeburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036093782
- Practice address
- 251 Market Place Dr
Suite 100
Freeburg, IL 62243-1393 - Phone
- (618) 539-0067
- Fax
- (618) 539-0288
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036093782 | IL | Primary |
Addresses
Primary practice location
251 Market Place Dr
Suite 100
Freeburg, IL 62243-1393
Mailing address
739 N Jefferson St
Suite 22
Mascoutah, IL 62258
Phone (618) 566-8810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036093782 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 Cross St
Shiloh, IL 62269-2941
Phone (618) 277-7400
Hospital & facility affiliations
- Amedisys Home Health
- Red Bud Regional Home Care
- Memorial Hospital
- HSHS St Elizabeth's Hospital
- Red Bud Regional Hospital
- Barnes Jewish Hospital
- Washington County Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 17 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Surgical Associates, LTD. | Family Medicine | Current | Accepting new patients |
Locations
251 Marketplace Dr
Ste 100
Freeburg, IL 62243
Phone (618) 539-0067
251 Marketplace Dr
Freeburg, IL 62243
Phone (618) 539-0067
251 Marketplace Dr
#1
Freeburg, IL 62243
Phone (618) 539-0067
739 N Jefferson St
Ste 22
Mascoutah, IL 62258
739 N Jefferson St
#200
Mascoutah, IL 62258
Phone (618) 566-8810
1414 Cross St
Ste 330
Shiloh, IL 62269
Phone (618) 228-8610
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Mascoutah, IL
- NPI 1366639759
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Red Bud Regional Hospital
- Critical Access Hospital
- Red Bud, IL
- NPI 1407573132
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba Red Bud Regional Home Care
- Home Health Agency
- Red Bud, IL
- NPI 1144282740
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
dba Washington County Hospital Walk In Clinic
- Rural Health Clinic/Center
- Nashville, IL
- NPI 1316555816
Hospital
-
dba Washington County Hospital
- Critical Access Hospital
- Nashville, IL
- NPI 1659321560
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1083720775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 N JEFFERSON ST",
"address_2": "SUITE 22",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "62258",
"telephone_number": "618-566-8810",
"fax_number": "618-566-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 MARKET PLACE DR",
"address_2": "SUITE 100",
"city": "FREEBURG",
"state": "IL",
"postal_code": "622431393",
"telephone_number": "618-539-0067",
"fax_number": "618-539-0288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONDERHEIDE",
"first_name": "TODD",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036093782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036093782",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freeburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.