Individual provider Active NPI

Robert C Woodruff, M.D.

  • Cardiovascular Disease Physician
  • Springfield, IL
National Provider Identifier
1659454262
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036067900 Issued in IL
Practice address
619 E Mason St
Suite 4P57
Springfield, IL 62701-1034
Phone
(217) 788-0706
Fax
(217) 525-2535
NPI assigned
Oct 24, 2006
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-067900 IL
Cardiovascular Disease Physician 207RC0000X 036067900 IL Primary

Addresses

Primary practice location

619 E Mason St
Suite 4P57
Springfield, IL 62701-1034

Mailing address

619 E Mason St
Suite 4P57
Springfield, IL 62701-1034
Phone (217) 788-0706

Other identifiers 2

IdentifierTypeStateIssuer
060018201OtherILRAILROAD
036067900MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rwoodruff100248@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000768 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749192318 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1982
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

619 E Mason St
4P57
Springfield, IL 62701-1034
Phone (217) 788-0706

800 E Carpenter St
Springfield, IL 62702-5324
Phone 217544646444399

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-067900ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District Current Accepting new patients
Schuyler County Hospital District CurrentSince Jan 1, 2000 Accepting new patients
Associated Pathologists LTD Current Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jan 1, 1987 Accepting new patients
Schuyler County Hospital District CurrentSince Jan 1, 2000 Accepting new patients
Hillsboro Area Hospital, Inc. Current Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jan 1, 1987 Accepting new patients
McDonough County Hospital District CurrentSince Feb 4, 2017 Accepting new patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince Mar 1, 2008 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jun 8, 2005 Accepting new patients
St Francis Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jan 1, 2006 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Pana Community Hospital Association CurrentSince May 1, 2000 Accepting new patients
McDonough County Hospital District CurrentSince Feb 4, 2017 Accepting new patients
Prairie Cardiovascular Consultants LTD Specialist CurrentSince Nov 1, 2000 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jun 8, 2005 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Pana Community Hospital Association Current Accepting new patients
Pana Community Hospital Association CurrentSince May 1, 2000 Accepting new patients
HSHS Medical Group Inc PastSince Apr 15, 2025 Accepting new patients
Thomas H. Boyd Memorial Hospital Past Accepting new patients

Locations

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

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

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

301 N 8th St
Rm 3B301
Springfield, IL 62701

3631 S 6th St
Ste C
Springfield, IL 62703
Phone (217) 535-3685

619 E Mason St
#4P57
Springfield, IL 62701

619 E Mason St
Ste 4
Springfield, IL 62701

619 E Mason St
Ste 4P57
Springfield, IL 62701

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

Interoperability endpoints

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

Organizations & group practices 27

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 27

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1659454262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E MASON ST",
            "address_2": "SUITE 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",
            "address_2": "SUITE 4P57",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011034",
            "telephone_number": "217-788-0706",
            "fax_number": "217-525-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-067900",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036067900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "060018201",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067900",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwoodruff100248@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "619 E Mason St",
            "address_2": "Suite 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

Verify at the official NPI Registry.