Active NPI
Erbert Caceres, MD
- Interventional Cardiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 25IA12761000
- Practice address
- 619 E Mason St Ste 4P57
Springfield, IL 62701-1034 - Phone
- (217) 788-0706
- Fax
- (217) 525-2535
- NPI assigned
- Aug 30, 2006
- Last updated
- May 6, 2026
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036106980 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 036106980 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 25IA12761000 | NJ | Primary |
Addresses
Primary practice location
619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Mailing address
619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Phone (217) 788-0706
Other practice location 1
1 Brace Rd Ste C4
Cherry Hill, NJ 08034-2600
Phone (856) 309-5869
Other practice location 2
1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800
Phone (217) 422-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036106980 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ecaceres310260@directvirtua.org | ||
| Direct Messaging Address | ecaceres241437@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NJ
- 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, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Brace Rd
Suite C4
Cherry Hill, NJ 08034-2600
Phone (856) 428-4100
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601
619 E Mason St
4P57
Springfield, IL 62701-1034
Phone (217) 788-0706
Hospital & facility affiliations
- Good Samaritan Regional HLTH Center
- West Jersey Hospital
- Virtua Mount Holly Hospital
- St Marys Hospital
- St Francis Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036106980 | IL | MD | Cardiovascular Disease Physician |
| 25IA12761000 | NJ | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuyler County Hospital District | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Schuyler County Hospital District | Current | Accepting new patients | |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Current | Accepting new patients | |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Prairie Cardiovascular Consultants LTD | Cardiovascular Disease | Past | Accepting new patients |
| Memorial Medical Center | Past | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Ste 120
Mount Vernon, IL 62864
Phone (618) 899-4999
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200
238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643
650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1 Brace Rd
Ste C4
Cherry Hill, NJ 08034
Phone (856) 309-5869
Organizations & group practices 21
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.
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1982714218
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Critical Access Hospital
- Rushville, IL
- NPI 1013969112
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
- Hospitalist Physician
- Hillsboro, IL
- NPI 1821078213
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
dba Good Samaritan Plaza Pharmacy
- Community/Retail Pharmacy
- Mount Vernon, IL
- NPI 1316282163
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
-
dba St Marys Hospital
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
-
dba Virtua Mount Holly Hospital
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1508976788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 E MASON ST STE 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 STE 4P57",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011034",
"telephone_number": "217-788-0706",
"fax_number": "217-525-2535"
}
],
"practiceLocations": [
{
"address_1": "1 Brace Rd Ste C4",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080342600",
"country_code": "US",
"telephone_number": "856-309-5869",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1770 E Lake Shore Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625213800",
"country_code": "US",
"telephone_number": "217-422-6100",
"fax_number": "833-784-5326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CACERES",
"first_name": "ERBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036106980",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036106980",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NJ",
"license": "25IA12761000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036106980",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ecaceres310260@directvirtua.org",
"affiliation": "N",
"address_1": "1 Brace Rd Ste C4",
"city": "Cherry Hill",
"state": "NJ",
"country_code": "US",
"postal_code": "080342600",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ecaceres241437@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "619 E Mason St Ste 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 May 6, 2026; 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.