Individual provider Active NPI

Richard Robert Dilorenzo, DO

  • Gastroenterology Physician
  • Decatur, IL
National Provider Identifier
1528090164
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036085835 Issued in IL
Practice address
1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone
(217) 329-1000
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036085835 IL Primary

Addresses

Primary practice location

1730 E Lake Shore Dr
Decatur, IL 62521-3809

Mailing address

1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone (217) 329-1000

Other practice location 1

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 2

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 3

404 Lincoln Dr
Herrin, IL 62948-3789
Phone (618) 993-0056

Other practice location 4

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

Other identifiers 1

IdentifierTypeStateIssuer
036085835MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdilorenzo103184@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050114000328 IL Practitioner - Gastroenterology 4789633900 Reassigns benefits to 3 organizations
I20240621003510 TN Practitioner - Gastroenterology 4789633900

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone (217) 329-1000

Hospital & facility affiliations

  • St Marys Hospital Hospital, Decatur, IL, CCN 140166

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Upper gastrointestinal (GI) endoscopy for acid reflux13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036085835ILMDGastroenterology Physician
5633TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Jun 20, 2025 Accepting new patients
Swedishamerican Hospital Internal Medicine Current Accepting new patients
Swedishamerican Hospital CurrentSince Jan 28, 2025 Accepting new patients
SJL Health Systems Inc CurrentSince Jun 20, 2025 Accepting new patients
Decatur Memorial Hospital Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Decatur Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Southern Illinois Medical Services, NFP Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Swedishamerican Hospital CurrentSince Jan 28, 2025 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

2 Memorial Dr
Ste 101
Decatur, IL 62526
Phone (217) 875-2640

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

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

1730 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 329-1000

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

404 Lincoln Dr
Herrin, IL 62948
Phone (618) 993-0056

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

Interoperability endpoints

  • Direct secure messaging: rdilorenzo103184@ewd.direct.hshs.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1528090164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213809",
            "telephone_number": "217-329-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E LAKE SHORE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213809",
            "telephone_number": "217-329-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Lincoln Dr",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483789",
            "country_code": "US",
            "telephone_number": "618-993-0056",
            "fax_number": "618-993-0752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILORENZO",
        "first_name": "RICHARD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036085835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085835",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdilorenzo103184@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1730 E Lake Shore Dr",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625213809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.