Individual provider Active NPI

Shanti Priya Subbarao, MD

  • Hospitalist Physician
  • Tuscola, IL
National Provider Identifier
1487910295
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036.139178 Issued in IL
Practice address
301 E Southline Rd
Tuscola, IL 61953-2014
Phone
(217) 253-5231
Fax
(217) 253-4082
NPI assigned
Apr 5, 2012
Last updated
Apr 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036.139178 IL Primary
Family Medicine Physician 207Q00000X 036139178 IL
Family Medicine Physician 207Q00000X 35.126085 OH

Addresses

Primary practice location

301 E Southline Rd
Tuscola, IL 61953-2014

Mailing address

611 W Park St
Urbana, IL 61801-2501

Other practice location 1

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Other identifiers 1

IdentifierTypeStateIssuer
0128393MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150818004281 OH Practitioner - Family Practice 9638484850 Reassigns benefits to 4 organizations
I20151125001897 IA Practitioner - Family PracticePractitioner - Internal Medicine 9638484850 Reassigns benefits to 2 organizations
I20151130001274 IL Practitioner - Family PracticePractitioner - Internal Medicine 9638484850 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121

241 W Weaver Rd
Suite 145B
Forsyth, IL 62535-9766
Phone (217) 876-5220

3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.139178ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District Current Accepting new patients
Blessing Hospital CurrentSince Nov 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Sep 14, 2018 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Sound Physicians of Illinois, LLC Family Medicine CurrentSince Dec 1, 2015 Accepting new patients
Hoopeston Community Memorial Hospital Family Medicine Current Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Family Medicine CurrentSince Feb 7, 2026 Accepting new patients
Blessing Hospital CurrentSince Nov 1, 2025 Accepting new patients
Carle Health Medical Group Family Medicine CurrentSince Jan 18, 2021 Accepting new patients
Decatur Memorial Hospital Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Hospitalist CurrentSince Feb 7, 2026 Accepting new patients
McDonough County Hospital District CurrentSince Dec 31, 2017 Accepting new patients
Mvhe Inc Hospitalist CurrentSince Nov 9, 2015 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Jan 18, 2021 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Decatur Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Mvhe Inc CurrentSince Nov 9, 2015 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 27, 2020 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Family Medicine CurrentSince Feb 28, 2017 Accepting new patients
Mvhe Inc Family Medicine Current Accepting new patients
McDonough County Hospital District CurrentSince Dec 31, 2017 Accepting new patients
Apogee Medical Group Iowa PC Hospitalist CurrentSince Apr 1, 2016 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Family Medicine CurrentSince Jan 11, 2020 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Mar 27, 2020 Accepting new patients
Cogent Healthcare of Iowa, PC Family Medicine CurrentSince Dec 1, 2015 Accepting new patients
Deaconess Illinois Clinic, Inc Family Medicine Past Accepting new patients

Locations (25 of 31)

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

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

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

29373 Network Pl
Chicago, IL 60673

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

200 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 605-5611

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1005 Broadway St
Quincy, IL 62301

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

301 E Southline Rd
Tuscola, IL 61953
Phone (217) 253-3426

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 4

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1487910295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E SOUTHLINE RD",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619532014",
            "telephone_number": "217-253-5231",
            "fax_number": "217-253-4082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012834",
            "country_code": "US",
            "telephone_number": "217-223-8400",
            "fax_number": "217-214-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBBARAO",
        "first_name": "SHANTI",
        "middle_name": "PRIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.139178",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036139178",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.126085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128393",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscola, IL

Sources for this page

Verify at the official NPI Registry.