NPIMap

Individual provider Active NPI

David G Vermillion, M.D.

  • Internal Medicine Physician
  • Morris, IL
National Provider Identifier
1093718801
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-082906 Issued in IL
Practice address
1802 N Division St Ste 201
Morris, IL 60450-1183
Phone
(815) 513-5625
Fax
(815) 513-5624
NPI assigned
May 24, 2005
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-082906 IL Primary
Pediatrics Physician 208000000X 036-082906 IL

Addresses

Primary practice location

1802 N Division St Ste 201
Morris, IL 60450-1183

Mailing address

725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dvermillion193503@direct.edward.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000891 IL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6204858244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

1802 N Division St
Suite 201
Morris, IL 60450-1183
Phone (815) 513-5625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-082906ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David G Vermillion M D P C Internal Medicine CurrentSince May 1, 1997 Accepting new patients
Iatros, M.D.,S.C. Internal Medicine Current Accepting new patients
Morris Hospital CurrentSince Jul 15, 2010 Accepting new patients
Morris Hospital CurrentSince Jul 15, 2010 Accepting new patients
Morris Hospital Current Accepting new patients
Morris Hospital Past Accepting new patients

Locations

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

1300 Dresden Dr
Morris, IL 60450
Phone (815) 942-5200

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1802 N Division St
Ste 201
Morris, IL 60450
Phone (815) 513-5625

725 School St
Ste A
Morris, IL 60450

Interoperability endpoints

  • Direct secure messaging: david.vermillion.1@14307.direct.athenahealth.com
  • Direct secure messaging: dvermillion193503@direct.edward.org

Organizations & group practices 6

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

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1093718801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 201",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501183",
            "telephone_number": "815-513-5625",
            "fax_number": "815-513-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLION",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-082906",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-082906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dvermillion193503@direct.edward.org",
            "affiliation": "N",
            "address_1": "1802 N Division St Ste 201",
            "city": "Morris",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604501183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.