Individual provider Active NPI

Evelena Ontiveros, MD PHD

  • Hematology & Oncology Physician
  • Decatur, IL
National Provider Identifier
1689886962
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036143984 Issued in IL
Practice address
210 W McKinley Ave Ste 1
Decatur, IL 62526-5858
Phone
(217) 876-6600
Fax
(217) 876-6606
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036143984 IL Primary

Addresses

Primary practice location

210 W McKinley Ave Ste 1
Decatur, IL 62526-5858

Mailing address

210 W McKinley Ave Ste 1
Decatur, IL 62526-5858
Phone (217) 329-3232

Other practice location 1

101 E 9th St Ste 1
Pana, IL 62557-1716
Phone (217) 876-6600

Other practice location 2

1990 E Lake Shore Dr
Decatur, IL 62521-3811
Phone (217) 876-6600

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
I20170807001909 IL Practitioner - Hematology/Oncology 0345490058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Iowa, RJ & L Carver College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

210 W McKinley Ave
Suite 1
Decatur, IL 62526-5858
Phone (217) 877-9442

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273332NYMDLicensed Practical Nurse
036143984ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Specialists of Central Illinois, S.C. Hematology & Oncology CurrentSince Jul 31, 2017 Accepting new patients
Cancer Care Specialists of Central Illinois, S.C CurrentSince Jul 31, 2017 Accepting new patients

Locations

210 W McKinley Ave
Ste 1
Decatur, IL 62526
Phone (217) 876-6600

210 W McKinley Ave
#1
Decatur, IL 62526
Phone (217) 877-9442

1990 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2900

210 W McKinley Ave
Decatur, IL 62526
Phone (217) 876-8121

101 E 9th St
Ste 1
Pana, IL 62557
Phone (217) 876-6600

Organizations & group practices 2

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 3

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1689886962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MCKINLEY AVE STE 1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625265858",
            "telephone_number": "217-329-3232",
            "fax_number": "217-329-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MCKINLEY AVE STE 1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625265858",
            "telephone_number": "217-876-6600",
            "fax_number": "217-876-6606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E 9th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Pana",
            "state": "IL",
            "postal_code": "625571716",
            "country_code": "US",
            "telephone_number": "217-876-6600",
            "fax_number": "217-876-6606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 E Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625213811",
            "country_code": "US",
            "telephone_number": "217-876-6600",
            "fax_number": "217-876-6606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONTIVEROS",
        "first_name": "EVELENA",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036143984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.