Active NPI
Vishnu Raj Kumar Mani, M.D.
- Surgery Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D91124
- Practice address
- 8201 E Riverside Blvd
Rockford, IL 61114-2300 - Phone
- (815) 971-4066
- NPI assigned
- Jul 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD-50213 | IA | |
| Surgery Physician | 208600000X | 036161994 | IL | |
| Surgical Critical Care Physician | 2086S0102X | MD-50213 | IA | |
| Surgical Critical Care Physician | 2086S0102X | 036161994 | IL | |
| Trauma Surgery Physician | 2086S0127X | MD-50213 | IA | |
| Trauma Surgery Physician | 2086S0127X | 036161994 | IL | |
| Surgery Physician | 208600000X | D91124 | MD | Primary |
Addresses
Primary practice location
8201 E Riverside Blvd
Rockford, IL 61114-2300
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-7892
Other practice location 1
220 S Park Ave Fl 3
Herrin, IL 62948-3602
Phone (618) 942-2002
Other practice location 2
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600
Other practice location 3
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6278
Other practice location 4
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-7892
Other practice location 5
305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone (618) 457-3006
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vmani63235@sih.direct-ci.com | ||
| Direct Messaging Address | vmani63235@sih.direct-ci.com | ||
| Direct Messaging Address | vmani492837@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | FHIR-API | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Saint Francis Medical Center
- Mercy Health System Corp
- Javon Bea Hospital
- St Joseph Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D91124 | MD | MD | Surgery Physician |
| MD-50213 | IA | MD | Surgical Critical Care Physician |
| 036161994 | IL | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| RMH Pathologists, LTD | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Surgery | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Past | Accepting new patients |
Locations
305 W Jackson St
Ste 206
Carbondale, IL 62901
Phone (618) 457-3006
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
220 S Park Ave
Fl 3
Herrin, IL 62948
Phone (618) 942-2002
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
8600 State Route 91
Ste 330
Peoria, IL 61615
Phone (309) 308-2010
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Interoperability endpoints
- vmani492837@direct-ehr-ssmhc.com
- vmani63235@sih.direct-ci.com
- vmani857355@direct.hopkinsmedicine.org
- vmani250890@uihcdirect.org
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
Surgery
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Anatomic Pathology Physician
- Rockford, IL
- NPI 1184671992
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1154510808
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1174964951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-7892",
"fax_number": "319-356-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-4066"
}
],
"practiceLocations": [
{
"address_1": "220 S Park Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483602",
"country_code": "US",
"telephone_number": "618-942-2002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Good Samaritan Way",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "IL",
"postal_code": "628642402",
"country_code": "US",
"telephone_number": "618-242-4600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Mineral Point Ave",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535482940",
"country_code": "US",
"telephone_number": "608-756-6278",
"fax_number": "608-756-6289",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-7892",
"fax_number": "319-356-3692",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "305 W Jackson St Ste 206",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011474",
"country_code": "US",
"telephone_number": "618-457-3006",
"fax_number": "618-457-3007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANI",
"first_name": "VISHNU RAJ KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-09",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "MD-50213",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036161994",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IA",
"license": "MD-50213",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IL",
"license": "036161994",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IA",
"license": "MD-50213",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IL",
"license": "036161994",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D91124",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vmani63235@sih.direct-ci.com",
"affiliation": "N",
"address_1": "220 S Park Ave Fl 3",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483602",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vmani63235@sih.direct-ci.com",
"affiliation": "N",
"address_1": "305 W Jackson St Ste 206",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011474",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vmani492837@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "vmani492837@direct-ehr-ssmhc.com",
"address_1": "1 Good Samaritan Way",
"city": "Mount Vernon",
"state": "IL",
"country_code": "US",
"postal_code": "628642402",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "FHIR-API",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1 Good Samaritan Way",
"city": "Mount Vernon",
"state": "IL",
"country_code": "US",
"postal_code": "628642402",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.