Active NPI
John W. Link, M.D.
- Anesthesiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036093668
- Practice address
- 800 East Carpenter Street
Room 2K64
Springfield, IL 62769-0001 - Phone
- (217) 525-5643
- Fax
- (217) 544-2521
- NPI assigned
- Oct 12, 2005
- Last updated
- Jan 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036093668 | IL | Primary |
Addresses
Primary practice location
800 East Carpenter Street
Room 2K64
Springfield, IL 62769-0001
Mailing address
800 East Carpenter Street
Room 2K64
Springfield, IL 62769-0001
Phone (217) 525-5643
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08415040 | Other | IL | BLUE CROSS BLUE SHIELD |
| 104409 | Other | IL | HEALTHLINK GROUP NUMBER |
| 291477 | Other | IL | HEALTHLINK GROUP # |
| 085972 | Other | IL | HEALTH ALLIANCE |
| L031806 | Other | IL | CHAMPUS/TRICARE |
| 036093668 | Medicaid | IL | |
| 32490 | Other | IL | PERSONAL CARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlink131624@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NC
- 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
- Anesthesiology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036093668 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current | Accepting new patients |
| Jacksonville Crnas Inc | Anesthesiology | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
2020 W Iles Ave
Springfield, IL 62704
Phone (217) 698-3030
800 E Carpenter St
#2334
Springfield, IL 62769
Phone (217) 525-5643
800 E Carpenter St
Rm 2334
Springfield, IL 62769
Phone (217) 525-5643
800 E Carpenter St
Rm 2K64
Springfield, IL 62769
Phone (217) 525-5643
2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647
3621 Randolph Rd
Charlotte, NC 28211
Phone (704) 206-8800
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Certified Registered Nurse Anesthetist
- Jacksonville, IL
- NPI 1821302068
Anesthesiology
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1225026321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 EAST CARPENTER STREET",
"address_2": "ROOM 2K64",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627690001",
"telephone_number": "217-525-5643",
"fax_number": "217-544-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 EAST CARPENTER STREET",
"address_2": "ROOM 2K64",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627690001",
"telephone_number": "217-525-5643",
"fax_number": "217-544-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINK",
"first_name": "JOHN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036093668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08415040",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK GROUP NUMBER",
"identifier": "104409",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK GROUP #",
"identifier": "291477",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "085972",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "L031806",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036093668",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CARE",
"identifier": "32490",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlink131624@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "800 East Carpenter Street",
"address_2": "Room 2K64",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627690001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.