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Organization Active NPI

St Marys Hospital Decatur of the Hospital Sisters of the Third Order

  • General Acute Care Hospital
  • Decatur, IL
National Provider Identifier
1326041229
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0002592 Issued in IL
Legal business name
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Practice address
1800 E Lake Shore Dr
Decatur, IL 62521
Phone
(217) 464-2966
Fax
(217) 464-1616
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Ann Bond
Title
System Director-Government Reimb
Phone
(217) 814-4586

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0002592 IL Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

1800 E Lake Shore Dr
Decatur, IL 62521

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450
Phone (217) 464-2966

Other names 1

  • St Marys Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address st_marys_decatur_toc2202619@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, PA, CA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040621001680 IL Part B Supplier - Clinic/Group Practice 6608767181 Receives reassigned benefits from 20 practitioners
Practice locations: Decatur, IL
O20080422000602 IL Part A Provider - Hospital 6608767181 Practice locations: Decatur, IL; Sullivan, IL
O20241119002386 TX Part B Supplier - Clinic/Group Practice 6608767181 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20241204002001 PA Part B Supplier - Clinic/Group Practice 6608767181 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA
O20250106003664 CA Part B Supplier - Clinic/Group Practice 6608767181 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland, CA

Hospital certification: CCN 140166

Legal name
ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Doing business as
HSHS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 14, 2021
Beds
355
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 22, 1955 in IL
Enrollment address
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Main/Primary Hospital Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
St Marys HospitalCCN 140166
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

525 N Vine St
Arthur, IL 61911
Phone (217) 543-2446

1102 W Ravina Park Rd
Decatur, IL 62526
Phone (217) 428-8641

1770 E Lake Shore Dr
Ste 202
Decatur, IL 62521
Phone (217) 464-2505

447 W Wood St
Decatur, IL 62522
Phone (217) 428-8641

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Z Schwarz Individual Corporate DirectorBoard Member May 1, 2022
M, Rasheed Orakzai Individual Corporate DirectorBoard Member May 1, 2026
Jeffery Sterling Individual Corporate OfficerVice President- Managed Care Jun 1, 2025
W-2 Managing EmployeeVice President- Managed Care Jun 1, 2025
Rick Weltin Individual Corporate Officer Nov 1, 2017
Debbie Bogle Individual Corporate DirectorBoard Member Jun 1, 2025
Timothy Layman Individual Corporate DirectorPresident & Ceo May 1, 2026
Trudy O'Connor Individual Corporate DirectorBoard Member May 1, 2022
Hospital Sisters Services Inc Organization, Springfield, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Julie Brilley Individual Corporate DirectorBoard Member May 1, 2026
Dale Colee Individual Corporate DirectorVice Chairperson May 1, 2026
Michael Breheny Individual Corporate DirectorBoard Member May 1, 2026
Drew Hickey Individual Corporate DirectorBoard Member Jan 1, 2024
Allison Matusin Individual Corporate DirectorChairperson May 1, 2026
Paige Toth Individual Corporate DirectorSecretary Oct 29, 2025
Ann Bond Individual Corporate DirectorSystem Director Oct 29, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 24

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 24

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

Affiliated clinicians 318

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 318

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1326041229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 HOLLIS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047450",
            "telephone_number": "217-464-2966",
            "fax_number": "217-464-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62521",
            "telephone_number": "217-464-2966",
            "fax_number": "217-464-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR-GOVERNMENT REIMB",
        "authorized_official_telephone_number": "217-814-4586"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0002592",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "st_marys_decatur_toc2202619@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1800 E Lake Shore Dr",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625213810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Marys Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Marys Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.