SADASHIVAIAH BHASKAR M.D.
NPI 1417002098
Pediatrics in Marion, IL

Q: What is Sadashivaiah Bhaskar's NPI number?

The NPI number for Sadashivaiah Bhaskar is 1417002098. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Sadashivaiah Bhaskar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since January 24, 2007PECOS Enrolled

3412 OFFICE PARK DR, MARION, IL 62959(618) 993-0404(618) 993-1717 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sadashivaiah Bhaskar M.d. NPPES

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

SADASHIVAIAH BHASKAR M.D. (NPI 1417002098) is an individual pediatrics provider in Marion, Illinois, licensed in North Carolina (2020-04850) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417002098

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSADASHIVAIAH BHASKARCredential: M.D.

Location Address3412 OFFICE PARK DRMarion, IL 62959-6477

Mailing Address3412 Office Park DrMarion, IL 62959-6477 · (618) 993-0404 · Fax (618) 993-1717

Phone(618) 993-0404

Fax(618) 993-1717

Sole ProprietorNo

Enumeration DateJanuary 24, 2007

Last NPPES UpdateMarch 12, 2024

NPPES CertifiedMarch 12, 2024

✔ NPI 1417002098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NC · 2020-04850✔ Licensed in IL · 036123769

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 2020-04850 (NC)

3412 OFFICE PARK DR, Marion, IL 62959

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Secondary Practice Locations 2

Location 1200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-4021 · Fax (704) 384-5601

Location 2850 S Main StHolly Springs, NC 27540-8906 · Phone (984) 960-1800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sadashivaiah Bhaskar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Sadashivaiah Bhaskar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Mary's Hospital, Centralia, Illinois

55 mi

Anesthesiology

400 N PLEASANT AVE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: St Marys Hospital Centralia Illinois
392 clinicians in this Medicare group

NPI 1477097871 (618) 436-6056

Carolinas Physicians Network, Inc.

415 mi

Medical Oncology

52 HOSPITAL DR, SUITE 3-A
Columbus, NC 28722

Reassigned Medicare billing, North Carolina enrollment
2,057 clinicians in this Medicare group

NPI 1184852105 (828) 894-2308

Scotland Memorial Hospital, Inc.

562 mi

Surgery

1007 CHERAW ST
Bennettsville, SC 29512

Reassigned Medicare billing, North Carolina enrollment
476 clinicians in this Medicare group

NPI 1598143620 (843) 535-0939

Duke University Health System, Inc.

567 mi

Nurse Anesthetist, Certified Registered

ERWIN RD
Durham, NC 27710

Reassigned Medicare billing, North Carolina enrollment
1,482 clinicians in this Medicare group

NPI 1558392977 (919) 684-8111

Dlp Maria Parham Physician Practices LLC

585 mi

Rural Health

1209 SE INDUSTRY DR
Oxford, NC 27565

Reassigned Medicare billing, North Carolina enrollment
178 clinicians in this Medicare group

NPI 1003500109 (252) 492-8576

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 12

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

MICHELLE WHARTON APN, NP-C

Nurse Practitioner (Family)