Individual provider Active NPI

Vaughn Hanna, MD

  • Rheumatology Physician
  • Peoria, IL
National Provider Identifier
1912912213
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036088565 Issued in IL
Practice address
900 Main St Ste 600
Peoria, IL 61602-5025
Phone
(309) 671-8271
Fax
(309) 672-3171
NPI assigned
Jul 29, 2006
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036088565 IL Primary

Addresses

Primary practice location

900 Main St Ste 600
Peoria, IL 61602-5025

Mailing address

900 Main St Ste 600
Peoria, IL 61602-5025
Phone (309) 671-8271

Other identifiers 6

IdentifierTypeStateIssuer
0360885651MedicaidIL
660000775OtherILRAILROAD MEDICARE
7215059OtherILBCBS PPO
020755OtherILHEALTH ALLIANCE
472308OtherILHEALTHLINK
IL0145OtherILJOHN DEERE

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
I20100816000420 IL Practitioner - RheumatologyPractitioner - Internal Medicine 6406980275 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Southern Illinois University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Proctor Health SystemsGroup PAC ID 3476440173, 131 clinicians

Practice addresses (Care Compare)

221 NE Glen Oak
Peoria, IL 61636
Phone (309) 672-5522

221 NE Glen Oak Ave
Peoria, IL 61636-0001

3591 Griffin Ave
Pekin, IL 61554-6258
Phone (309) 353-6301

5401 N Knoxville Ave
Peoria, IL 61614-5021

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

900 Main St
Suite 600
Peoria, IL 61602-5025
Phone (309) 671-8270

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems Current Accepting new patients
Carle Health Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2017 Accepting new patients
Proctor Health Systems CurrentSince Jul 1, 2017 Accepting new patients
Proctor Health Systems CurrentSince Jul 1, 2017 Accepting new patients
Pekin Prohealth Inc CurrentSince Jan 27, 2018 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients

Locations

5100 Reliable Pkwy
Chicago, IL 60686
Phone (309) 672-4809

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

120 NE Glen Oak Ave
Ste 100
Peoria, IL 61603
Phone (309) 671-8270

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

900 Main St
Ste 600
Peoria, IL 61602
Phone (309) 671-3170

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 7

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.

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1912912213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 600",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025025",
            "telephone_number": "309-671-8271",
            "fax_number": "309-672-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 600",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025025",
            "telephone_number": "309-671-8271",
            "fax_number": "309-672-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "VAUGHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036088565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360885651",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "660000775",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO",
            "identifier": "7215059",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "020755",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "472308",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "IL0145",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.