Individual provider Active NPI

John Sudkamp, MD

  • Anesthesiology Physician
  • Urbana, IL
National Provider Identifier
1730141524
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036105989 Issued in IL
Practice address
602 West University Ave
Urbana, IL 61801
Phone
(217) 383-3303
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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 036105989 IL Primary

Addresses

Primary practice location

602 West University Ave
Urbana, IL 61801

Mailing address

PO Box 6002
Urbana, IL 61803-6002
Phone (217) 337-4105

Other identifiers 1

IdentifierTypeStateIssuer
036105989MedicaidIL

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
I20040729000746 IL Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Interventional Pain Management 8123929858 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians

Practice addresses (Care Compare)

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 342-2121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Hospital District CurrentSince Nov 20, 2025 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Kirby Medical Center CurrentSince Feb 1, 2021 Accepting new patients
Kirby Medical Center CurrentSince Jan 3, 2026 Accepting new patients
Kirby Medical Center CurrentSince Feb 1, 2021 Accepting new patients
Crawford Hospital District Current Accepting new patients
Anesthesia Pain Services LLC Anesthesiology CurrentSince Oct 1, 2013 Accepting new patients
Crawford Hospital District CurrentSince Nov 20, 2025 Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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 3

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1730141524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6002",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618036002",
            "telephone_number": "217-337-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 WEST UNIVERSITY AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-383-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDKAMP",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036105989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105989",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.