MERCY CLINIC SPECIALISTS SERVICES-ILLINOIS LLC
NPI 1578017596
Internal Medicine - Hematology & Oncology in Maryville, IL

Active since August 08, 2016
2227 VADALABENE DR STE 200, MARYVILLE, IL 62062(314) 364-4347 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2019, Aug 8, 2016 (2 updates tracked since 2016).

About Mercy Clinic Specialists Services-illinois Llc NPPES

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

MERCY CLINIC SPECIALISTS SERVICES-ILLINOIS LLC (NPI 1578017596) is a healthcare organization registered as a hematology & oncology in Maryville, Illinois and active in the NPI registry since August 2016. The organization lists Kerry Dunger, Executive Director - Finance, as its authorized official.

NPPES Registry Identity

NPI1578017596
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMERCY CLINIC SPECIALISTS SERVICES-ILLINOIS LLC
Location Address2227 VADALABENE DR STE 200Maryville, IL 62062-5824
Mailing Address2227 Vadalabene Dr Ste 200Maryville, IL 62062-5824
Organization SubpartNo
Authorized OfficialKerry DungerExecutive Director - Finance · (314) 364-3707
Enumeration DateAugust 8, 2016
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1578017596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2227 VADALABENE DR STE 200, Maryville, IL 62062

Other Identifiers 1

Medicaid500051406MO

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Clinic Specialists Services-illinois Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Mercy Clinic Specialists Services-Illinois LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 5

Hematology/Oncology4
Nurse Practitioner4
Medical Oncology3
Cardiovascular Disease (Cardiology)1
Internal Medicine1

Clinicians, nearest first (13)

Medical Oncology
NPI 1154396182
2227 VADALABENE DR SUITE 100
Maryville, IL 62062
(618) 288-1140
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245018944
321 REGENCY PARK STE 100
O Fallon, IL 62269
(618) 416-7970
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1477911857
10012 KENNERLY RD SUITE 300
Saint Louis, MO 63128
(314) 842-0602
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1790335008
10012 KENNERLY RD STE 300
Saint Louis, MO 63128
(314) 842-0602
✔ PECOS✔ Accepts Medicare28 mi
Cardiovascular Disease (Cardiology)
NPI 1609923598
10012 KENNERLY RD SUITE 300
St Louis, MO 63128
(314) 842-0602
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1992438378
10012 KENNERLY RD STE 300
Saint Louis, MO 63128
(314) 842-0602
✔ PECOS✔ Accepts Medicare28 mi
Internal Medicine
NPI 1528407822
10012 KENNERLY RD STE 300
Saint Louis, MO 63128
(314) 842-0602
✔ PECOS✔ Accepts Medicare28 mi
Hematology/Oncology
NPI 1457533739
1221 N HIGHLAND AVE
Aurora, IL 60506
(630) 859-8700
✔ PECOS✔ Accepts Medicare227 mi
Hematology/Oncology
NPI 1861450280
301 GORDON GUTMANN BLVD SUITE 301
Jeffersonville, IN 47130
(812) 288-9969
✔ PECOS✔ Accepts Medicare230 mi
Hematology/Oncology
NPI 1548234883
2301 E 93RD ST SUITE 110
Chicago, IL 60617
(773) 731-2982
✔ PECOS✔ Accepts Medicare242 mi
Medical Oncology
NPI 1366471260
100 N HUMPHREYS BLVD
Memphis, TN 38120
(901) 322-9080
✔ PECOS✔ Accepts Medicare248 mi
Hematology/Oncology
NPI 1104053792
104 NW 31ST
Lawton, OK 73505
(580) 536-2121
✔ PECOS✔ Accepts Medicare550 mi
Medical Oncology
NPI 1679997142
1240 LEE ST
Charlottesville, VA 22908
(434) 924-9333
✔ PECOS✔ Accepts Medicare623 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 Mercy Clinic Specialists Services-Illinois LLC's NPI number?

The NPI number for Mercy Clinic Specialists Services-Illinois LLC is 1578017596. It was assigned to this organization in the NPPES registry on August 8, 2016.

Where is Mercy Clinic Specialists Services-Illinois LLC located?

Mercy Clinic Specialists Services-Illinois LLC is located at 2227 Vadalabene Dr Ste 200, Maryville, IL 62062. The listed phone number is (314) 364-4347.

What is Mercy Clinic Specialists Services-Illinois LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mercy Clinic Specialists Services-Illinois LLC enrolled in Medicare?

Yes. Mercy Clinic Specialists Services-Illinois LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Clinic Specialists Services-Illinois LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 5 Medicare specialties reassign their Medicare billing to Mercy Clinic Specialists Services-Illinois LLC. 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 Hematology/Oncology (4), Nurse Practitioner (4) and Medical Oncology (3). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercy Clinic Specialists Services-Illinois LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mercy Clinic Specialists Services-Illinois LLC 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.

When was this NPI record last updated?

The NPPES record for Mercy Clinic Specialists Services-Illinois LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.