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ORTHOPAEDIC CENTER OF ILLINOIS
NPI 1013313832
Physical Medicine & Rehabilitation - Pain Medicine in Springfield, IL

Active since November 05, 2014CLIA 14D2191393 · Waiver
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711(217) 547-9100(217) 547-9236 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Orthopaedic Center Of Illinois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHOPAEDIC CENTER OF ILLINOIS (NPI 1013313832) is a healthcare organization registered as a pain medicine in Springfield, Illinois and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Melissa Smith, Executive Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1013313832
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameORTHOPAEDIC CENTER OF ILLINOIS
Location Address1301 S KOKE MILL RDSpringfield, IL 62711-9252
Mailing Address1301 S Koke Mill RdSpringfield, IL 62711-9252 · (217) 547-9100 · Fax (217) 547-9236
Phone(217) 547-9100
Fax(217) 547-9236
Organization SubpartNo
Authorized OfficialMelissa SmithExecutive Administrative Assistant · (217) 547-9100
Enumeration DateNovember 5, 2014
Last NPPES UpdateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1013313832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in IL · 042007969
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 042007969 (IL)
1301 S KOKE MILL RD, Springfield, IL 62711
Open in Google Maps ↗

Other Identifiers 1

Other300440IL · Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2191393

Orthopedic Center Of Illinois, Ltd · Springfield, IL
Active · expires Aug 25, 2026
CLIA Number14D2191393
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorTimothy A. Vanfleet M D
Laboratory Phone(217) 547-9100
Laboratory LocationOrthopedic Center Of Illinois, Ltd1301 S Koke Mill Rd, Springfield, IL 62711
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRECK A JONES M.D.
Neurological Surgery
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
MOLLY L FARRELL DPT
Physical Therapist
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
MATTHEW WEBER MD
Neurological Surgery
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
MR. DUANE RAY MEYER PT
Physical Therapist
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
DANIELLE SHARPSTENE OT
Occupational Therapist
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
SCOTT DAVID SCHLEUNES DPM
Podiatrist (Foot & Ankle Surgery)
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
KATHY S CELLETTI RNFA
Registered Nurse (Registered Nurse First Assistant)
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
TRACEY LYNN MARAS O.T.R.
Occupational Therapist
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9108

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 Orthopaedic Center Of Illinois's NPI number?

The NPI number for Orthopaedic Center Of Illinois is 1013313832. It was assigned to this organization in the NPPES registry on November 5, 2014.

Where is Orthopaedic Center Of Illinois located?

Orthopaedic Center Of Illinois is located at 1301 S Koke Mill Rd, Springfield, IL 62711. The listed phone number is (217) 547-9100.

What is Orthopaedic Center Of Illinois's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Orthopaedic Center Of Illinois hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2191393) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Orthopaedic Center Of Illinois was last updated on November 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.