Active NPI
Robert V Trask, M.D.
- Interventional Cardiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036-085769
- Practice address
- 619 E Mason St
Suite 4P57
Springfield, IL 62701-1034 - Phone
- (217) 788-0706
- Fax
- (217) 525-2535
- NPI assigned
- Oct 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036-085769 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036085769 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 036-085769 | IL | Primary |
Addresses
Primary practice location
619 E Mason St
Suite 4P57
Springfield, IL 62701-1034
Mailing address
619 E Mason St
Suite 4P57
Springfield, IL 62701-1034
Phone (217) 788-0706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060019439 | Other | IL | RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rtrask100207@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
602 Michigan Ave
Suite 102
Holland, MI 49423-4918
Phone (616) 494-8724
Hospital & facility affiliations
- Spectrum Health
- Holland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-085769 | IL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Current | Accepting new patients | |
| Prairie Cardiovascular Consultants LTD | Specialist | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients |
Locations
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154
1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
619 E Mason St
Ste 4P57
Springfield, IL 62701
650 W Taylor St
Fl 2
Vandalia, IL 62471
Phone (217) 342-3400
650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
Interoperability endpoints
- rtrask1799425@epic00.corewelldirect.org
- rtrask100207@ewd.direct.hshs.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Cardiovascular Disease Physician
- Springfield, IL
- NPI 1659539559
Specialist
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1366525966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 E MASON ST",
"address_2": "SUITE 4P57",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011034",
"telephone_number": "217-788-0706",
"fax_number": "217-525-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 E MASON ST",
"address_2": "SUITE 4P57",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011034",
"telephone_number": "217-788-0706",
"fax_number": "217-525-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRASK",
"first_name": "ROBERT",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036-085769",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036085769",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036-085769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "060019439",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rtrask100207@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "619 E Mason St",
"address_2": "Suite 4P57",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627011034",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.