Individual provider Active NPI

John R. Trost, M.D.

  • Emergency Medicine Physician
  • Springfield, IL
National Provider Identifier
1720172828
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58525 Issued in KY
Practice address
800 N. 1St Street
Springfield, IL 62702
Phone
(217) 528-7541
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036-092633 IL
Emergency Medicine Physician 207P00000X 58525 KY Primary

Addresses

Primary practice location

800 N. 1St Street
Springfield, IL 62702

Mailing address

1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040218000295 IL Practitioner - General SurgeryPractitioner - General Practice 0941195069 Reassigns benefits to 2 organizations
I20231201001863 KY Practitioner - Emergency Medicine 0941195069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Southern Illinois University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLC 776 clinicians
Deaconess Illinois Specialty Clinic, Inc. 145 clinicians

Practice addresses (Care Compare)

1625 Nashville St
Russellville, KY 42276-8853
Phone (270) 726-4011

325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-3831

Hospital & facility affiliations

  • The Medical Center at Russellville Hospital, Russellville, KY, CCN 180066
  • Red Bud Regional Hospital Hospital, Red Bud, IL, CCN 141348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-092633ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pana Community Hospital Association Current Accepting new patients
Memorial Hospital Surgery CurrentSince Dec 15, 2017 Accepting new patients
Memorial Hospital CurrentSince Dec 15, 2017 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Feb 7, 2026 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 15, 2024 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Emergency Medicine CurrentSince Feb 7, 2026 Accepting new patients
Springfield Clinic, LLP PastSince Feb 15, 2006 Accepting new patients

Locations

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

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

325 Spring St
Redbud, IL 62278
Phone (618) 282-5165

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

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

Interoperability endpoints

  • Direct secure messaging: john.trost.1@27782.direct.athenahealth.com

Organizations & group practices 9

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1720172828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N. 1ST STREET",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62702",
            "telephone_number": "217-528-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROST",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-092633",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "58525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.