Individual provider Active NPI

Robert Andrew Thain, MD

  • Family Medicine Physician
  • O Fallon, IL
National Provider Identifier
1285737213
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-087321 Issued in IL
Practice address
100 Springfield CT
O Fallon, IL 62269-2495
Phone
(618) 632-3565
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-087321 IL Primary

Addresses

Primary practice location

100 Springfield CT
O Fallon, IL 62269-2495

Mailing address

100 Springfield CT
O Fallon, IL 62269-2495
Phone (618) 632-3565

Other practice location 1

200 Richmond Ave E Ste 1
Mattoon, IL 61938-4652
Phone (217) 234-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rthain103311@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
I20071019000074 IL Practitioner - Family Practice 6204854813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

200 Richmond Ave E
Suite 1
Mattoon, IL 61938-4652
Phone (217) 234-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-087321ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 1, 2013 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
The Board of Trustees of the University of Illinois Family Medicine Past Accepting new patients

Locations

200 Richmond Ave E
Ste 2
Mattoon, IL 61938
Phone (217) 234-7000

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

200 Richmond Ave E
Mattoon, IL 61938
Phone (217) 234-7000

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

200 Richmond Ave E
Ste 1
Mattoon, IL 61938
Phone (217) 234-7000

Organizations & group practices 4

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 3

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1285737213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRINGFIELD CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692495",
            "telephone_number": "618-632-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRINGFIELD CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692495",
            "telephone_number": "618-632-3565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Richmond Ave E Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384652",
            "country_code": "US",
            "telephone_number": "217-234-7000",
            "fax_number": "217-234-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAIN",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-087321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rthain103311@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "100 Springfield Ct",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.