MARY LUDOLPH MD
NPI 1376580225
Radiology - Diagnostic Radiology in Springfield, IL
About Mary Ludolph Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY LUDOLPH MD (NPI 1376580225) is an individual diagnostic radiology provider in Springfield, Illinois, licensed in Illinois (036114091) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Ludolph 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Ludolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62703
- Reassigned Medicare billing, Illinois enrollment
- 735 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 69
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Johns Hospital
Acute Care Hospitals · Springfield, ILMemorial Medical Center
Acute Care Hospitals · Springfield, ILAbraham Lincoln Memorial Hospital
Critical Access Hospitals · Lincoln, ILTaylorville Memorial Hospital
Critical Access Hospitals · Taylorville, ILJacksonville Memorial Hospital
Critical Access Hospitals · Jacksonville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
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 Mary Ludolph's NPI number?
The NPI number for Mary Ludolph is 1376580225. It was assigned to this individual provider in the NPPES registry on June 1, 2006.
Where is Mary Ludolph located?
Mary Ludolph practices at 3050 Montvale Dr Ste A, Springfield, IL 62704. The listed phone number is (217) 726-8096.
What is Mary Ludolph's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Mary Ludolph enrolled in Medicare?
Yes. Mary Ludolph 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.
Which organization bills Medicare for Mary Ludolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ludolph reassigns Medicare benefits to Springfield Clinic, LLP (Springfield, IL). The 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 Mary Ludolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Ludolph affiliated with any hospitals?
According to CMS data, Mary Ludolph is affiliated with St Johns Hospital, Memorial Medical Center, Abraham Lincoln Memorial Hospital, Taylorville Memorial Hospital and Jacksonville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mary Ludolph was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.