Individual provider Active NPI

Steven A Roodman, M.D.

  • Anesthesiology Physician
  • Marion, IL
National Provider Identifier
1720064439
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036108956 Issued in IL
Practice address
3333 W Deyoung St
Marion, IL 62959-5884
Phone
(618) 998-7000
NPI assigned
Dec 15, 2005
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036108956 IL Primary

Addresses

Primary practice location

3333 W Deyoung St
Marion, IL 62959-5884

Mailing address

PO Box 503256
Saint Louis, MO 63150-0001
Phone (660) 826-5960

Other practice location 1

818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-2177

Other identifiers 2

IdentifierTypeStateIssuer
036108956MedicaidIL
P00068429OtherILRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@spartahospital.hin.us

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
I20040216000980 IL Practitioner - Anesthesiology 7012820897 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Columbia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

2 Good Samaritan Way
Suite 200
Mount Vernon, IL 62864-2476
Phone (618) 899-3869

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036108956ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Regional Health Center Current Accepting new patients
Good Samaritan Regional Health Center Anesthesiology CurrentSince Sep 18, 2025 Accepting new patients
County of Clay CurrentSince Sep 17, 2019 Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince Apr 8, 2009 Accepting new patients
Anesthesia Associates of Southern Illinois Surgery Center LLC Anesthesiology CurrentSince Feb 12, 2017 Accepting new patients
County of Clay Current Accepting new patients
County of Clay CurrentSince Sep 17, 2019 Accepting new patients
Memorial Hospital CurrentSince Apr 6, 2019 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Anesthesiology CurrentSince Jan 21, 2017 Accepting new patients
Memorial Hospital CurrentSince Apr 6, 2019 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jan 21, 2017 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Current Accepting new patients
Western Ohio Anesthesia Associates Past Accepting new patients
Salem Township Hospital Past Accepting new patients
Marion Surgery Center LTD Past Accepting new patients
Specialists in Anesthesia PC Anesthesiology Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1900 State St
Chester, IL 62233
Phone (618) 826-2388

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-1108

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084

Interoperability endpoints

  • Direct secure messaging: sroodman193405@direct-ehr-ssmhc.com
  • Direct secure messaging: ehr-direct@spartahospital.hin.us
  • Direct secure messaging: sroodman@direct.horizonhealthcare.nextgenshare.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 5

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1720064439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503256",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595884",
            "telephone_number": "618-998-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "IL",
            "postal_code": "622861820",
            "country_code": "US",
            "telephone_number": "618-443-2177",
            "fax_number": "618-443-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROODMAN",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036108956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108956",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00068429",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "818 E Broadway St",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622861820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.