CENTRAL ILLINOIS SNF CARE PLLC
NPI 1063103190
Internal Medicine in Jacksonville, IL

Active since May 18, 2023
1517 W WALNUT ST, JACKSONVILLE, IL 62650(630) 336-5620 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2023, Jun 1, 2023, May 18, 2023 (3 updates tracked since 2023).

About Central Illinois Snf Care Pllc NPPES

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

CENTRAL ILLINOIS SNF CARE PLLC (NPI 1063103190) is a healthcare organization registered as an internal medicine in Jacksonville, Illinois and active in the NPI registry since May 2023. The organization maintains a secondary practice location in Springfield and lists Bhavin Vallabhbhai Sonani, President / Owner, as its authorized official.

NPPES Registry Identity

NPI1063103190
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTRAL ILLINOIS SNF CARE PLLC
Location Address1517 W WALNUT STJacksonville, IL 62650-1133
Mailing Address1517 W Walnut StJacksonville, IL 62650-1133 · (630) 336-5620
Organization SubpartNo
Authorized OfficialBhavin Vallabhbhai SonaniPresident / Owner · (630) 336-5620
Enumeration DateMay 18, 2023
Last NPPES UpdateOctober 3, 20233 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1063103190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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 ListedHospitalistTaxonomy 208M00000X
1517 W WALNUT ST, Jacksonville, IL 62650

Secondary Practice Location 1

Location 1525 S Martin Luther King Jr DrSpringfield, IL 62703-1317 · Phone (630) 336-5620

Other Identifiers 1

OtherF100967946IL · Medicare Group Ptan

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Illinois Snf Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Central Illinois Snf Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1164031803
1517 W WALNUT ST
Jacksonville, IL 62650
(217) 243-6451
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538683032
2801 MATHERS RD
Springfield, IL 62711
(217) 241-3586
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1750870051
1025 S 6TH ST
Springfield, IL 62703
(217) 528-7541
✔ PECOS✔ Accepts Medicare33 mi
Internal Medicine
NPI 1639495971
800 E CARPENTER ST ST. JOHN'S HOSPITAL
Springfield, IL 62702
(217) 544-6464
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1336912385
9 ILLINI DR
Lincoln, IL 62656
(217) 691-5341
✔ PECOS✔ Accepts Medicare53 mi

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 Central Illinois Snf Care PLLC's NPI number?

The NPI number for Central Illinois Snf Care PLLC is 1063103190. It was assigned to this organization in the NPPES registry on May 18, 2023.

Where is Central Illinois Snf Care PLLC located?

Central Illinois Snf Care PLLC is located at 1517 W Walnut St, Jacksonville, IL 62650. The listed phone number is (630) 336-5620.

What is Central Illinois Snf Care PLLC's specialty?

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

Is Central Illinois Snf Care PLLC enrolled in Medicare?

Yes. Central Illinois Snf Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Illinois Snf Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Central Illinois Snf Care PLLC. 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 Nurse Practitioner (4) and Internal Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Illinois Snf Care PLLC was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.