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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. VIBHU DHAWAN MD
NPI 1033315965
Internal Medicine in Belleville, IL

Active since June 26, 2007PECOS Enrolled
4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 257-6220 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, May 10, 2024, May 16, 2023 and 5 more (8 updates tracked since 2021).

About Dr. Vibhu Dhawan Md NPPES

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

DR. VIBHU DHAWAN MD (NPI 1033315965) is an individual internal medicine provider in Belleville, Illinois, licensed in Arizona (53839) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033315965
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VIBHU DHAWANCredential: MD
Location Address4500 MEMORIAL DRBelleville, IL 62226-5360
Mailing Address4500 Memorial DrBelleville, IL 62226-5360 · (573) 825-2413
Phone(618) 257-6220
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 26, 2007
Last NPPES UpdateAugust 7, 20268 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1033315965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 53839✔ Licensed in IL · 036117862
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 19123 (NV), 036117862 (IL)
Also ListedPediatricsTaxonomy 208000000X · License 036117862 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 2011011351 (MO), 036117862 (IL)
4500 MEMORIAL DR, Belleville, IL 62226
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1701 N 1st StSpringfield, IL 62781-0001 · Phone (217) 528-7541
Location 22545 S Bruce St Ste 200Las Vegas, NV 89169-1778 · Phone (702) 732-2438 · Fax (702) 737-5043

Other Identifiers 5

Other809840IL · Medicare Group #
Medicaid036117862IL
OtherCA4079IL · Rr Medicare Group Ptan
OtherP00617102IL · Rr Medicare Group Member Ptan
Medicaid1033315965NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross Blue Shield of Arizona, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vibhu Dhawan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901979111
PECOS Enrollment IDI20080722000262, I20210928001766
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
106 services104 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
84 services84 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CEP AMERICA - ILLINOIS SNF, LLP
Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
MS. LAUREN NICOLE MARSHALL FNP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-5455
MR. LITO T RUFIN NP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
KIM C WRIGLEY P.A.
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
BRIAN BENDEL
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (561) 623-2008
DR. PAUL D SANDER MD
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
St. Clair County (618) 257-4076
DR. NEIL MCCLYMONT D.O.
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
BUSHRA SHAUKAT MD
Hospitalist
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220

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 Vibhu Dhawan's NPI number?

The NPI number for Vibhu Dhawan is 1033315965. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Vibhu Dhawan located?

Vibhu Dhawan practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 257-6220.

What is Vibhu Dhawan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vibhu Dhawan enrolled in Medicare?

Yes. Vibhu Dhawan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vibhu Dhawan accept?

Health plans from AvMed, Blue Cross Blue Shield of Arizona and CareSource list Vibhu Dhawan 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.

Is Vibhu Dhawan affiliated with any hospitals?

According to CMS data, Vibhu Dhawan is affiliated with Alton Memorial Hospital, St Johns Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Vibhu Dhawan was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.