Organization Active NPI

Ottawa Regional Hospital & Healthcare Center

Doing business as OSF Healthcare - Medical Group (Non-RHC Billing)

  • Family Medicine Physician
  • Marseilles, IL
National Provider Identifier
1558088203
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
Doing business as
OSF Healthcare - Medical Group (Non-RHC Billing)
Practice address
102 11TH St
Marseilles, IL 61341-1048
Phone
(815) 795-5400
NPI assigned
Oct 24, 2022
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
OSF HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Robert C Sehring
Title
Chief Executive Officer
Phone
(309) 655-2850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

102 11TH St
Marseilles, IL 61341-1048

Mailing address

124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850

Other names 1

  • OSF Healthcare - Medical Group (Non-RHC Billing) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000910 IL Part B Supplier - Clinic/Group Practice 9133029861 Receives reassigned benefits from 140 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marseilles, IL; Peru, IL; Ottawa, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Osf Healthcare System

Locations

1601 Mercury Ct
Ste 200
Ottawa, IL 61350
Phone (815) 431-5125

1614 E Norris Dr
Ottawa, IL 61350
Phone (815) 433-1010

411 Canal St
Ottawa, IL 61350
Phone (815) 431-5230

920 West St
Ste 110
Peru, IL 61354
Phone (815) 433-3100

920 West St
Ste 225
Peru, IL 61354
Phone (815) 221-1302

111 Spring St
Fl 1
Streator, IL 61364
Phone (815) 673-2311

111 Spring St
Ste 204
Streator, IL 61364
Phone (815) 673-4549

Practitioners & affiliated clinicians

Practitioners 136

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 136

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1558088203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021308",
            "telephone_number": "309-655-2850",
            "fax_number": "309-655-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 11TH ST",
            "city": "MARSEILLES",
            "state": "IL",
            "postal_code": "613411048",
            "telephone_number": "815-795-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "SEHRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "309-655-2850"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF Healthcare - Medical Group (Non-RHC Billing)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marseilles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.