Active NPI
Ravishankar Hasanadka, M.D.
- Vascular Surgery Physician
- Mattoon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 36123015
- Practice address
- 1000 Health Center Dr
Mattoon, IL 61938-4644 - Phone
- (217) 258-4049
- Fax
- (217) 238-4491
- NPI assigned
- Oct 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 36123015 | IL | Primary |
| Vascular Surgery Physician | 2086S0129X | MD154236 | OR |
Addresses
Primary practice location
1000 Health Center Dr
Mattoon, IL 61938-4644
Mailing address
PO Box 372
Mattoon, IL 61938-0372
Other practice location 1
1100 Tuscola Blvd
Tuscola, IL 61953-2065
Phone (217) 253-2020
Other practice location 2
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-4329
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036123015 | Medicaid | IL | |
| 500636610 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Indiana University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Health Ctr Dr
Mattoon, IL 61938-4644
Phone (217) 258-2525
Hospital & facility affiliations
- Sarah Bush Lincoln Health Center
- Osf Sacred Heart Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36123015 | IL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
610 Park Ave
Pekin, IL 61554
Phone (309) 346-7776
5405 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-4410
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
340 W Miller St
Fl 1
Springfield, IL 62702
Phone (217) 789-0416
340 W Miller St
Springfield, IL 62702
Phone (217) 523-4700
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
1100 Tuscola Blvd
Tuscola, IL 61953
Phone (217) 253-2020
1405 W Park St
Ste 201
Urbana, IL 61801
Phone (217) 337-3240
1405 W Park St
Urbana, IL 61801
Phone (217) 337-3240
Interoperability endpoints
- ravinshankar.hasanadka.1@15486.direct.athenahealth.com
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danville, IL
- NPI 1699288449
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1699858068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 372",
"city": "MATTOON",
"state": "IL",
"postal_code": "619380372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HEALTH CENTER DR",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384644",
"telephone_number": "217-258-4049",
"fax_number": "217-238-4491"
}
],
"practiceLocations": [
{
"address_1": "1100 Tuscola Blvd",
"address_purpose": "LOCATION",
"city": "Tuscola",
"state": "IL",
"postal_code": "619532065",
"country_code": "US",
"telephone_number": "217-253-2020",
"fax_number": "217-253-2023",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "217-238-4329",
"fax_number": "217-258-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASANADKA",
"first_name": "RAVISHANKAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-21",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "36123015",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OR",
"license": "MD154236",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036123015",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500636610",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.