Individual provider Active NPI

Ravishankar Hasanadka, M.D.

  • Vascular Surgery Physician
  • Mattoon, IL
National Provider Identifier
1699858068
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
36123015 Issued in IL
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

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036123015MedicaidIL
500636610MedicaidOR

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
I20130116000264 IL Practitioner - Vascular SurgeryPractitioner - General Surgery 7618148289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1000 Health Ctr Dr
Mattoon, IL 61938-4644
Phone (217) 258-2525

Hospital & facility affiliations

  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
  • Osf Sacred Heart Medical Center Hospital, Danville, IL, CCN 140093

Procedures performed for Medicare patients

ProcedureNumber 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36123015ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Oct 1, 2019 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Oct 20, 2025 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 16, 2016 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Oct 20, 2025 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 16, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.