Matthew Blaine Eubanks, M.D.
Individual provider Active NPI Pediatrics Physician · Harrisburg, IL
NPI 1679717425 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1679717425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 036127151 (IL)
- Practice address
- 117 E Clark St
Harrisburg, IL 62946-2702 - Phone
- (618) 252-8625
- Fax
- (618) 351-4859
- NPI assigned
- Apr 23, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Southern Illinois University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harrisburg Family Practice LTD
Southern Illinois Medical Services NFP
Practice addresses (Care Compare)
117 E Clark St
Harrisburg, IL 62946-2702
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361
Hospital & facility affiliations
- LHC-Illinois Home Health Care
- Residential Home Health of Southern Illinois, LLC
- Hospice of Southern Illinois, Inc
- Herrin Hospital
- Harrisburg Medical Center
- Ferrell Hospital Community Foundations
- Memorial Hospital of Carbondale
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120924000546 | IL | Practitioner - Pediatric Medicine |
5890943435 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036127151 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Internal Medicine | Current |
Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
117 E Clark St
Harrisburg, IL 62946
Phone (618) 252-8625
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036127151 | IL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036127151 | IL | |
| Pediatrics Physician | 208000000X | 036127151 | IL | Yes |
Addresses
Primary practice location
117 E Clark St
Harrisburg, IL 62946-2702
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | meubanks13980@sih.direct-ci.com |
Other providers in Harrisburg, IL
- Empowerme Rehabilitation Illinois, LLC
- Ethan Grounds DMD PC
- Timothy Etienne
- Eubanks & Daugherty, LLC
- Krystina Lee Eubanks
- Melodi G Ewing
- Family Healthcare Clinic & Rehab
- Fenton Dialysis LLC
- Ferrell Hospital Community Foundation
- Ferrell Hospital Community Foundation
All providers in Harrisburg, IL · Pediatrics Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.