CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. – Medical Oncology Physician, NPI 1871580142
Medical Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.
2 W Adams St
Sullivan, IL 619511943
Phone: (217) 876-6600
Fax: (217) 876-6606
Type: Location
12860 Troxler Ave Ste 135
Highland, IL 622492898
Phone: (618) 651-2893
Fax: (618) 654-6462
Type: Location
1990 E Lake Shore Dr
Decatur, IL 625213811
Phone: (217) 876-6600
Fax: (217) 876-6606
Type: Location
1001 Health Center Dr
Mattoon, IL 619384693
Phone: (217) 258-2250
Fax: (217) 258-2249
Type: Location
650 W Taylor St
Vandalia, IL 624711227
Phone: (217) 342-2066
Fax: (217) 342-2074
Type: Location
210, West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States
SUITE 1
DECATUR, IL 625265858
Phone: (217) 876-6600
Fax: (217) 876-6606
Type: Location
Broadway Plaza, Suite 1
Sparta, IL 622861800
Phone: (618) 416-7970
Fax: (618) 416-7971
Type: Location
207 S Pine St Ste F
Shelbyville, IL 625651749
Phone: (217) 876-6606
Fax: (217) 876-6606
Type: Location
1201 Ricker Rd
Salem, IL 628814263
Phone: (618) 436-5410
Fax: (618) 436-8063
Type: Location
101 E 9th St Ste 1
Pana, IL 625571785
Phone: (217) 876-6600
Fax: (217) 876-6606
Type: Location
213 NW 10th St Ste D
Fairfield, IL 628371219
Phone: (618) 847-8296
Fax: (618) 847-8398
Type: Location
422 W White St
Clinton, IL 617272272
Phone: (217) 876-6600
Fax: (217) 876-6606
Type: Location
9515 Holy Cross Ln Ste 6
Breese, IL 622303618
Phone: (618) 526-8585
Fax: (618) 526-2855
Type: Location
321 Regency Park Ste 100
O Fallon, IL 622691887
Phone: (618) 416-7970
Fax: (618) 416-7971
Type: Location
905 Medical Park Dr
Effingham, IL 624012190
Phone: (217) 342-2066
Fax: (217) 342-2074
Type: Location
1052 ML King Drive, Suite 2
Centralia, IL 628013002
Phone: (618) 436-5410
Fax: (618) 436-5410
Type: Location
2 Sage Crossing Blvd Ste A
Monticello, IL 618564206
Phone: (217) 817-8517
Fax: (217) 817-8516
Type: Location
800 E Locust St
Olney, IL 624502553
Phone: (217) 342-2066
Fax: (217) 342-2074
Type: Location
929 Stacey Burk Dr
Flora, IL 628393241
Phone: (217) 342-2066
Fax: (217) 342-2074
Type: Location
200 Health Care Dr Ste 1501
Greenville, IL 622461154
Phone: (618) 436-5410
Fax: (618) 664-2424
Type: Location
201 E Pleasant St
Taylorville, IL 625681597
Phone: (217) 707-5430
Fax: (217) 707-5232
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (282 days ago).
Enrollment records
2
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031113000022 | O | Clinic/Group Practice | IL | TBD |
| O20100930078095 | O | Physician - Hematology/Oncology | IL | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61951)
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