Active NPI
Ronald V Hublall, MD
- Diagnostic Radiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036-117104
- Practice address
- 800 E Carpenter St
Springfield, IL 62769-1625 - Phone
- (217) 544-6464
- NPI assigned
- Feb 5, 2007
- Last updated
- Feb 28, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD462725 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 036-117104 | IL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 2004001951 | MO |
Addresses
Primary practice location
800 E Carpenter St
Springfield, IL 62769-1625
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272
Other practice location 1
1 Guthrie Sq
Sayre, PA 18840-1625
Phone (570) 887-4000
Other practice location 2
29 NW 1st Ln
LaMar, MO 64759-8105
Phone (417) 681-5101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-117104 | IL | MD | Diagnostic Radiology Physician |
| 2004001951 | MO | MD | Diagnostic Radiology Physician |
| MD462725 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Central Illinois Radiological Associates, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Guthrie Medical Group, P.C, | Diagnostic Radiology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Maryville Imaging, LLC | Current | Accepting new patients | |
| Maryville Imaging, LLC | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Encompass Medical Group, PA | Diagnostic Radiology | Past | Accepting new patients |
| Medical Plaza Imaging Associates, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Western Missouri Radiological Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Hot Springs MRI Center | Past | Accepting new patients | |
| Northland Imaging, LLC | Past | Accepting new patients | |
| Cira Michigan PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748
5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060
111 Oakwood Rd
Peoria, IL 61611
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
530neglen Oak Ave
Peoria, IL 61636
Phone (309) 685-1054
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165
Organizations & group practices 14
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.
-
dba Central Illinois Radiological Associates
- Diagnostic Radiology Physician
- Peoria, IL
- NPI 1538192828
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Radiology Clinic/Center
- Maryville, IL
- NPI 1912293002
-
- Diagnostic Radiology Physician
- Towanda, PA
- NPI 1598892333
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Family Medicine Physician
- Towanda, PA
- NPI 1811946304
-
- Diagnostic Radiology Physician
- Escanaba, MI
- NPI 1972141513
-
dba Encompass Medical Group, PC
- General Practice Physician
- Overland Park, KS
- NPI 1063457299
Diagnostic Radiology
-
- Magnetic Resonance Imaging Radiologic Technologist
- Hot Springs, AR
- NPI 1801896410
-
dba St. Luke's Outpatient Imaging
- Diagnostic Radiology Physician
- Kansas City, MO
- NPI 1356418156
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- Critical Access Hospital
- Sparta, IL
- NPI 1548216476
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
dba Clinton County Rural Health
- Rural Health Clinic/Center
- Breese, IL
- NPI 1013002658
Hospital
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1740329242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OAKWOOD RD",
"city": "EAST PEORIA",
"state": "IL",
"postal_code": "616111853",
"telephone_number": "309-740-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627691625",
"telephone_number": "217-544-6464"
}
],
"practiceLocations": [
{
"address_1": "1 Guthrie Sq",
"address_purpose": "LOCATION",
"city": "Sayre",
"state": "PA",
"postal_code": "188401625",
"country_code": "US",
"telephone_number": "570-887-4000",
"fax_number": "570-887-5775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "29 NW 1st Ln",
"address_purpose": "LOCATION",
"city": "LaMar",
"state": "MO",
"postal_code": "647598105",
"country_code": "US",
"telephone_number": "417-681-5101",
"fax_number": "417-681-5510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBLALL",
"first_name": "RONALD",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD462725",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036-117104",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2004001951",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.