Active NPI
Ivan Zadounaev, M.D.
- Family Medicine Physician
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036160448
- Practice address
- 611 W Park St
Urbana, IL 61801-2529 - Phone
- (217) 383-3311
- NPI assigned
- Jun 28, 2016
- Last updated
- Jun 11, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19489 | Other | NH | NH LICENSE |
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
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| R-10727 | IA | MD | Family Medicine Physician |
| 036160448 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Medical Group | Family Medicine | Current | 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
- 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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.