Individual provider Active NPI

Thomas Franklin Rutherford III, DO

  • Hospitalist Physician
  • Decatur, IL
National Provider Identifier
1225527138
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036165379 Issued in IL
Practice address
176 W Mound Rd
Decatur, IL 62526-1964
Phone
(217) 875-0163
NPI assigned
May 7, 2018
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 312615 LA
Pediatrics Physician 208000000X 036-165379 IL
Hospitalist Physician 208M00000X 036165379 IL Primary
Internal Medicine Physician 207R00000X 036-165379 IL
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 312615 LA

Addresses

Primary practice location

176 W Mound Rd
Decatur, IL 62526-1964

Mailing address

176 W Mound Rd
Decatur, IL 62526-1964
Phone (217) 875-0163

Other practice location 1

1004 Health Center Dr Ste 201
Mattoon, IL 61938-4605
Phone (217) 238-4961

Other practice location 2

401 Matthew Street
Emergency Department
Marietta, OH 45750
Phone (740) 568-5669

Other practice location 3

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trutherford394210@ewd.direct.hshs.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725001291 IL Practitioner - Internal Medicine 9739419490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Liberty Univ College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

176 W Mound Rd
Decatur, IL 62526-1964
Phone (217) 391-8730

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-165379ILMDInternal Medicine Physician
312615LAMDInternal Medicine Physician
036165379ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Illinois Hospitalists, LLP Multi-Specialty CurrentSince Jul 26, 2024 Accepting new patients
HSHS Prairie, Inc CurrentSince Jul 24, 2023 Accepting new patients
Cep America-Illinois Hospitalists Multi-Specialty CurrentSince Jul 26, 2024 Accepting new patients
Cep America-Illinois Hospitalists, LLP Multi-Specialty Current Accepting new patients
HSHS Prairie, Inc Multi-Specialty CurrentSince Jul 24, 2023 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

176 W Mound Rd
Decatur, IL 62526
Phone (217) 391-8730

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

Interoperability endpoints

  • Direct secure messaging: trutherford394210@ewd.direct.hshs.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 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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1225527138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 W MOUND RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261964",
            "telephone_number": "217-875-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 W MOUND RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261964",
            "telephone_number": "217-875-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Health Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384605",
            "country_code": "US",
            "telephone_number": "217-238-4961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Matthew Street",
            "address_2": "Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "45750",
            "country_code": "US",
            "telephone_number": "740-568-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-675-5915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "THOMAS",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "312615",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-165379",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036165379",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-165379",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "312615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trutherford394210@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "176 W Mound Rd",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625261964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.