Individual provider Active NPI

Philip A Dy, M.D.

  • Medical Oncology Physician
  • Effingham, IL
National Provider Identifier
1710076567
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
036097243 Issued in IL
Practice address
905 Medical Park Dr
Effingham, IL 62401
Phone
(217) 342-2066
Fax
(217) 342-2074
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 036097243 IL Primary

Addresses

Primary practice location

905 Medical Park Dr
Effingham, IL 62401

Mailing address

PO Box 25228
Decatur, IL 62525-5228
Phone (217) 329-3232

Other practice location 1

650 W Taylor St
Vandalia, IL 62471-1227
Phone (217) 342-2066

Other practice location 2

213 NW 10th St Ste D
Fairfield, IL 62837-1219
Phone (217) 342-2066

Other identifiers 1

IdentifierTypeStateIssuer
036097243MedicaidIL

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
I20110203001052 IL Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 1850205089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Care Specialists of Central Illinois SCGroup PAC ID 5991619116, 31 clinicians

Practice addresses (Care Compare)

905 Medical Park Dr
Effingham, IL 62401-2190
Phone (217) 342-2066

Hospital & facility affiliations

  • HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
  • Fayette County Hospital Hospital, Vandalia, IL, CCN 141346
  • Clay County Hospital Hospital, Flora, IL, CCN 141351
  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032
  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
  • Hillsboro Area Hospital Hospital, Hillsboro, IL, CCN 141332

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Specialists of Central Illinois, S.C. Medical Oncology CurrentSince Jul 1, 1998 Accepting new patients
Cancer Care Specialists of Central Illinois, S.C CurrentSince Jul 1, 1998 Accepting new patients

Locations

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

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

905 Medical Park Dr
Effingham, IL 62401
Phone (217) 342-2066

213 NW 10th St
Ste D
Fairfield, IL 62837
Phone (217) 329-3232

929 Stacey Burk Dr
Flora, IL 62839

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

Interoperability endpoints

  • Direct secure messaging: pdy@yourcarecommunity.org

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 8

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1710076567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25228",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625255228",
            "telephone_number": "217-329-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MEDICAL PARK DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-342-2066",
            "fax_number": "217-342-2074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "IL",
            "postal_code": "624711227",
            "country_code": "US",
            "telephone_number": "217-342-2066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 NW 10th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "IL",
            "postal_code": "628371219",
            "country_code": "US",
            "telephone_number": "217-342-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DY",
        "first_name": "PHILIP",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036097243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097243",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.