Individual provider Active NPI

Othniel Stephen Doolittle, M.D.

  • Hospitalist Physician
  • Carbondale, IL
National Provider Identifier
1386965499
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036133193 Issued in IL
Practice address
2250 N Illinois Ave
Carbondale, IL 62901-5612
Phone
(618) 833-1691
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.133193 IL
Internal Medicine Physician 207R00000X 2013004979 MO
Hospitalist Physician 208M00000X 036133193 IL Primary
Internal Medicine Physician 207R00000X 125.058047 IL

Addresses

Primary practice location

2250 N Illinois Ave
Carbondale, IL 62901-5612

Mailing address

2250 N Illinois Ave
Carbondale, IL 62901-5612
Phone (618) 833-1691

Other practice location 1

301 S Orange St
Jonesboro, IL 62952-1104
Phone (309) 868-4671

Other practice location 2

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address othniel.doolittle.1@15486.direct.athenahealth.com Direct

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
I20140703001136 IL Practitioner - Internal MedicinePractitioner - Hospitalist 1456576552 Reassigns benefits to 14 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.133193ILMDEmergency Medicine Physician
125.058047ILMDInternal Medicine Physician
2013004979MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Browning Hospital Association CurrentSince Aug 7, 2017 Accepting new patients
Granite City Hospitalist Services LLC Hospitalist CurrentSince Sep 16, 2016 Accepting new patients
Associated Pathologists, LLC Current Accepting new patients
Franklin Hospital District Current Accepting new patients
Lawrence County Memorial Hospital CurrentSince May 1, 2024 Accepting new patients
Franklin Hospital District Internal Medicine CurrentSince Jan 22, 2024 Accepting new patients
Trinity Medical Staffing LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince May 20, 2019 Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Franklin Hospital District CurrentSince Jan 22, 2024 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Dec 10, 2025 Accepting new patients
Marshall Browning Hospital Association CurrentSince Aug 7, 2017 Accepting new patients
Wabash General Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Wabash General Hospital District Past Accepting new patients

Locations

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Interoperability endpoints

  • Direct secure messaging: doolitto@yourcarecommunity.org
  • Direct secure messaging: odoolittle27018@sih.direct-ci.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1386965499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N ILLINOIS AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015612",
            "telephone_number": "618-833-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N ILLINOIS AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015612",
            "telephone_number": "618-833-1691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Orange St",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "IL",
            "postal_code": "629521104",
            "country_code": "US",
            "telephone_number": "309-868-4671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLITTLE",
        "first_name": "OTHNIEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.133193",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2013004979",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036133193",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.058047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "othniel.doolittle.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.