DEACONESS SPECIALTY PHYSICIANS, INC
NPI 1003317785
Internal Medicine - Cardiovascular Disease in Fairfield, IL
About Deaconess Specialty Physicians, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS SPECIALTY PHYSICIANS, INC (NPI 1003317785) is a healthcare organization registered as a cardiovascular disease in Fairfield, Illinois and active in the NPI registry since February 2018. The organization lists Cheryl A Wathen, Secretary/treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deaconess Specialty Physicians, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Deaconess Specialty Physicians, Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Deaconess Specialty Physicians, Inc's NPI number?
The NPI number for Deaconess Specialty Physicians, Inc is 1003317785. It was assigned to this organization in the NPPES registry on February 27, 2018.
Where is Deaconess Specialty Physicians, Inc located?
Deaconess Specialty Physicians, Inc is located at 213 NW 10th St, Fairfield, IL 62837. The listed phone number is (812) 450-7899.
What is Deaconess Specialty Physicians, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Deaconess Specialty Physicians, Inc enrolled in Medicare?
Yes. Deaconess Specialty Physicians, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deaconess Specialty Physicians, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Deaconess Specialty Physicians, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Interventional Cardiology (7), Cardiovascular Disease (Cardiology) (6) and Cardiac Electrophysiology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Deaconess Specialty Physicians, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Deaconess Specialty Physicians, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Deaconess Specialty Physicians, Inc was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Deaconess Specialty Physicians, Inc · NPI 1003317785
Cardiovascular Disease organization in Fairfield, Illinois. Organization record, active in the CMS NPPES registry since February 27, 2018.
## Identity
- **NPI:** 1003317785 (Entity type: Organization)
- **Enumerated:** February 27, 2018
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Cheryl Wathen, SECRETARY/TREASURER
## Practice location
- **Address:** 213 NW 10TH ST, Fairfield, IL 62837
- **Phone:** (812) 450-7899 · **Fax:** (812) 450-6029
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Cardiology (7), Cardiovascular Disease (Cardiology) (6), Cardiac Electrophysiology (3) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1003317785) · Data from the CMS NPPES public registry.