DEACONESS IL SPECIALTY RICKER
NPI 1730896291
Orthopaedic Surgery in Salem, IL

Active since November 03, 2022
1201 RICKER RD, SALEM, IL 62881(182) 418-7916(618) 244-1926 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 26, 2023, Dec 2, 2022, Nov 9, 2022 and 1 more (4 updates tracked since 2022).

About Deaconess Il Specialty Ricker NPPES

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

DEACONESS IL SPECIALTY RICKER (NPI 1730896291) is a healthcare organization registered as an orthopaedic surgery in Salem, Illinois and active in the NPI registry since November 2022. The organization lists Kyle Dillman, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1730896291
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Location Address1201 RICKER RDSalem, IL 62881-4263
Mailing AddressPo Box 34266Belfast, ME 04915-0620 · (812) 450-6815 · Fax (812) 450-6822
Fax(618) 244-1926
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary Treasurer · (812) 450-7399
Enumeration DateNovember 3, 2022
Last NPPES UpdateJanuary 26, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1730896291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedPhysician AssistantTaxonomy 363A00000X
1201 RICKER RD, Salem, IL 62881

Other Names 1

Doing Business AsDeaconess Il Specialty Ricker

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)

Deaconess Il Specialty Ricker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

227

Medicare enrollment records show 227 clinicians reassign Medicare billing to Deaconess Il Specialty Ricker, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner56
Family Practice26
Internal Medicine24
Emergency Medicine19
Hospitalist16
Gastroenterology11
General Surgery9
Urology9
21 other specialties57

Nearest to this location (20)

See all 227
Nurse Practitioner
NPI 1932705050
1201 RICKER RD
Salem, IL 62881
(618) 548-9502
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407407885
1201 RICKER RD
Salem, IL 62881
(618) 548-3194
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376417253
130 S LINCOLN BLVD
Centralia, IL 62801
(618) 993-0404
✔ PECOS✔ Accepts Medicare13 mi
Emergency Medicine
NPI 1255357778
9360 BRINKMAN RD
Carlyle, IL 62231
(618) 594-2329
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1528622644
13 WINDSOR PL
Mount Vernon, IL 62864
(618) 000-0000
✔ PECOS✔ Accepts Medicare21 mi
General Surgery
NPI 1144226085
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
(618) 242-8480
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1669664843
2712 BROADWAY
Mt Vernon, IL 62864
(618) 244-2000
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1932881331
3111 BROADWAY ST
Mount Vernon, IL 62864
(618) 241-0333
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1962204503
3111 BROADWAY ST
Mount Vernon, IL 62864
(618) 241-0300
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1346956828
209 CROSSROADS PL
Mount Vernon, IL 62864
(618) 322-5053
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1942854526
209 CROSSROADS PL STE 120
Mount Vernon, IL 62864
(618) 918-6045
✔ PECOS✔ Accepts Medicare23 mi
Urology
NPI 1417909060
209 CROSSROADS PL SUITE 110
Mount Vernon, IL 62864
(618) 244-6710
✔ PECOS✔ Accepts Medicare23 mi
Emergency Medicine
NPI 1912957051
8 DOCTORS PARK RD
Mount Vernon, IL 62864
(618) 241-8798
✔ PECOS✔ Accepts Medicare23 mi
Hematology/Oncology
NPI 1093070302
8 DOCTORS PARK RD
Mount Vernon, IL 62864
(618) 244-1380
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1215142310
605 N 12TH ST
Mount Vernon, IL 62864
(618) 241-1000
✔ PECOS23 mi
Otolaryngology
NPI 1366491193
4117 S WATER TOWER PL SUITE C
Mount Vernon, IL 62864
(618) 242-0672
✔ PECOS✔ Accepts Medicare23 mi
Qualified Audiologist
NPI 1164472155
4117 S WATER TOWER PL SUITE C
Mount Vernon, IL 62864
(618) 242-0672
✔ Accepts Medicare23 mi
Family Practice
NPI 1689788630
4105 N WATER TOWER PL
Mount Vernon, IL 62864
(618) 244-9495
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1205226560
2 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 899-3607
✔ PECOS✔ Accepts Medicare24 mi
Hospitalist
NPI 1346734043
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(309) 339-2906
✔ PECOS✔ Accepts Medicare24 mi
See all 227 clinicians

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 Deaconess Illinois Specialty Clinic, Inc.'s NPI number?

The NPI number for Deaconess Illinois Specialty Clinic, Inc. is 1730896291. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Deaconess Il Specialty Ricker.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 1201 Ricker Rd, Salem, IL 62881. The listed phone number is (182) 418-7916.

What is Deaconess Illinois Specialty Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Deaconess Illinois Specialty Clinic, Inc. enrolled in Medicare?

Yes. Deaconess Illinois Specialty Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deaconess Illinois Specialty Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 227 clinicians in 29 Medicare specialties reassign their Medicare billing to Deaconess Illinois Specialty Clinic, Inc.. 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 (56), Family Practice (26) and Internal Medicine (24). Of these, 2 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 Deaconess Illinois Specialty Clinic, Inc. was last updated on January 26, 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.