Individual provider Active NPI

Osvaldo H Wesly, MD

  • Medical Oncology Physician
  • Springfield, IL
National Provider Identifier
1356441943
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
036-089289 Issued in IL
Practice address
105 S Amos Ave
Springfield, IL 62704-1528
Phone
(217) 546-7100
Fax
(217) 546-7111
NPI assigned
Sep 23, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 036-089289 IL Primary

Addresses

Primary practice location

105 S Amos Ave
Springfield, IL 62704-1528

Mailing address

105 S. Amos Ave
Springfield, IL 62704
Phone (217) 546-7100

Other identifiers 1

IdentifierTypeStateIssuer
036089289MedicaidIL

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
I20041216000837 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5092772442 Reassigns benefits to 1 organization
Practice locations: Peoria, IL; Springfield, IL

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 S Amos Ave
Springfield, IL 62704-1528
Phone (217) 546-7100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-089289ILMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PBCC Pharmacy LLC Current Accepting new patients
Blessing Hospital Current Accepting new patients
PBCC Pharmacy LLC Current Accepting new patients

Locations

1005 Broadway St
Quincy, IL 62301

105 S Amos Ave
Springfield, IL 62704
Phone (217) 546-7100

Interoperability endpoints

  • Direct secure messaging: osvaldowesly@blessing.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1356441943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S. AMOS AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "telephone_number": "217-546-7100",
            "fax_number": "217-546-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S AMOS AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041528",
            "telephone_number": "217-546-7100",
            "fax_number": "217-546-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLY",
        "first_name": "OSVALDO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036-089289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089289",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.