NPIMap

Individual provider Active NPI

Karen Phylis Wiarda, DO

  • Cardiovascular Disease Physician
  • Mattoon, IL
National Provider Identifier
1174733224
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036140067 Issued in IL
Practice address
100 Lerna Rd S
Cardiovascular and Thoracic Surgery
Mattoon, IL 61938-9384
Phone
(217) 904-7000
Fax
(217) 904-7748
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101016549 MI
Cardiovascular Disease Physician 207RC0000X 071651 GA
Clinical Cardiac Electrophysiology Physician 207RC0001X 5101016549 MI
Cardiovascular Disease Physician 207RC0000X 036140067 IL Primary

Addresses

Primary practice location

100 Lerna Rd S
Cardiovascular and Thoracic Surgery
Mattoon, IL 61938-9384

Mailing address

611 W Park St
BWPC
Urbana, IL 61801-2500

Other names 1

  • Karen Wiarda Former name

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
I20160722002144 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678741386 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Hoopeston Community Memorial HospitalGroup PAC ID 3577456037, shared by 11 NPIs, 142 clinicians

Practice addresses (Care Compare)

516 W Madison St
Danville, IL 61832-5657
Phone (217) 431-7902

611 W Park St
Urbana, IL 61801-2500

701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071651GAMDCardiovascular Disease Physician
036140067ILMDCardiovascular Disease Physician
5101016549MIMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital CurrentSince Jun 28, 2016 Accepting new patients
Kirby Medical Center CurrentSince Jan 3, 2026 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Kirby Medical Center CurrentSince Oct 3, 2016 Accepting new patients
Hoopeston Community Memorial Hospital Internal Medicine CurrentSince Jun 28, 2016 Accepting new patients
Kirby Medical Center CurrentSince Oct 3, 2016 Accepting new patients
Carle Health Care Incorporated Internal Medicine CurrentSince Jun 28, 2016 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

100 Lerna Rd S
Mattoon, IL 61938
Phone (217) 258-5900

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: kwiardado214348@carlehiedirect.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 6

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1174733224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LERNA RD S",
            "address_2": "CARDIOVASCULAR AND THORACIC SURGERY",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389384",
            "telephone_number": "217-904-7000",
            "fax_number": "217-904-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIARDA",
        "first_name": "KAREN",
        "middle_name": "PHYLIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016549",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "071651",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "5101016549",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036140067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "WIARDA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.