Individual provider Active NPI

Ivan Zadounaev, M.D.

  • Family Medicine Physician
  • Urbana, IL
National Provider Identifier
1316398506
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036160448 Issued in IL
Practice address
611 W Park St
Urbana, IL 61801-2529
Phone
(217) 383-3311
NPI assigned
Jun 28, 2016
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036160448 IL Primary
Family Medicine Physician 207Q00000X 19489 NH
Family Medicine Physician 207Q00000X 2026-03304 NC
Family Medicine Physician 207Q00000X R-10727 IA

Addresses

Primary practice location

611 W Park St
Urbana, IL 61801-2529

Mailing address

611 W Park St
Urbana, IL 61801-2529

Other practice location 1

6402 McCrimmon Pkwy Ste 100
Morrisville, NC 27560-8139
Phone (919) 655-1000

Other practice location 2

7750 McCrimmon Pkwy Ste 100
Cary, NC 27519-1912
Phone (919) 234-1577

Other practice location 3

59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200

Other practice location 4

1201 3rd Ave SE
Eastern Iowa Health Center
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300

Other identifiers 1

IdentifierTypeStateIssuer
19489OtherNHNH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221107000133 IL Practitioner - Family Practice 1951694033 Reassigns benefits to 1 organization
I20260625001187 NC Practitioner - Family Practice 1951694033

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1701 W Curtis Rd
Champaign, IL 61822-9678
Phone (217) 365-6200

1818 E Windsor Rd
Urbana, IL 61802-9566
Phone (217) 255-9500

200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-10727IAMDFamily Medicine Physician
036160448ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group Family Medicine CurrentSince Sep 25, 2022 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1540 E Grove Ave
Rantoul, IL 61866
Phone (217) 893-7700

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

Interoperability endpoints

  • Direct secure messaging: izadounaevmd352497@carlehiedirect.net

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.

Hospital & facility affiliations 2

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1316398506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529",
            "telephone_number": "217-383-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6402 McCrimmon Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275608139",
            "country_code": "US",
            "telephone_number": "919-655-1000",
            "fax_number": "888-355-8929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7750 McCrimmon Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275191912",
            "country_code": "US",
            "telephone_number": "919-234-1577",
            "fax_number": "888-355-8929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Page Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NH",
            "postal_code": "035703531",
            "country_code": "US",
            "telephone_number": "603-752-2200",
            "fax_number": "603-326-5831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 3rd Ave SE",
            "address_2": "Eastern Iowa Health Center",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524034009",
            "country_code": "US",
            "telephone_number": "319-730-7300",
            "fax_number": "319-730-7368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZADOUNAEV",
        "first_name": "IVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036160448",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "19489",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2026-03304",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-10727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH LICENSE",
            "identifier": "19489",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.