NPIMap

Individual provider Active NPI

Didi Omiyi, M.D.

  • Orthopaedic Surgery Physician
  • Effingham, IL
National Provider Identifier
1467618561
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036134772 Issued in IL
Practice address
1303 W Evergreen Ave Ste 200
Effingham, IL 62401-1638
Phone
(217) 342-3400
Fax
(217) 342-3477
NPI assigned
Jul 29, 2008
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036134772 IL Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 036134772 IL

Addresses

Primary practice location

1303 W Evergreen Ave Ste 200
Effingham, IL 62401-1638

Mailing address

1005 Health Center Dr Ste 201
Mattoon, IL 61938-4653
Phone (217) 868-2812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915001535 IL Practitioner - Orthopedic Surgery 4082833538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210

1303 W Evergreen Ave
Suite 200
Effingham, IL 62401-1638
Phone (217) 342-3400

350 N Wall St 4TH Floor
Kankakee, IL 60901-2901
Phone 81593316714592

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement83
Knee replacement99
Lower limb (leg) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036134772ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System CurrentSince Nov 24, 2025 Accepting new patients
Riverside Health System CurrentSince Nov 24, 2025 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 1, 2020 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

1303 W Evergreen Ave
Ste 200
Effingham, IL 62401
Phone (217) 342-3400

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sarah Bush Lincoln Home CareCharleston, IL, CCN 147594 Home health agency Corporate Director Jul 1, 2021
Sarah Bush Lincoln HospiceCharleston, IL, CCN 141599 Hospice Corporate Director Jul 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1467618561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HEALTH CENTER DR STE 201",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384653",
            "telephone_number": "217-868-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W EVERGREEN AVE STE 200",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011638",
            "telephone_number": "217-342-3400",
            "fax_number": "217-342-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMIYI",
        "first_name": "DIDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036134772",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IL",
            "license": "036134772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.