DR. TY E HASSELMAN MD
NPI 1861438434
Pediatrics - Pediatric Cardiology in Peoria, IL

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
420 NE GLEN OAK AVE, SUITE 301, PEORIA, IL 61603(309) 655-3453(309) 655-3410 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2022, Apr 19, 2017 (2 updates tracked since 2017).

About Dr. Ty E Hasselman Md NPPES

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

DR. TY E HASSELMAN MD (NPI 1861438434) is an individual pediatric cardiology provider in Peoria, Illinois, licensed in Illinois (036-106293) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Mattoon.

NPPES Registry Identity

NPI1861438434
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. TY E HASSELMANCredential: MD
Location Address420 NE GLEN OAK AVE, SUITE 301Peoria, IL 61603-3105
Mailing Address420 Ne Glen Oak Ave, Suite 301Peoria, IL 61603-3105 · (309) 655-3453 · Fax (309) 655-3410
Fax(309) 655-3410
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1999
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1861438434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in IL · 036-106293
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
420 NE GLEN OAK AVE, Peoria, IL 61603

Secondary Practice Location 1

Location 11000 Health Center DrMattoon, IL 61938-4644 · Phone (217) 238-4960 · Fax (217) 238-4951

Other Identifiers 1

Medicaid036106293IL

Accepted Insurance

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

Dr. Ty E Hasselman 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.

PECOS PAC ID3274537071
PECOS Enrollment IDI20060911000214
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

4

Medicare enrollment records show Ty Hasselman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
Rural Health
801 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 clinicians in this Medicare group
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

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.

Nurse Practitioner
420 NE GLEN OAK AVE, SUITE 200
PEORIA, IL 61603
Nurse Practitioner
420 NE GLEN OAK AVE
PEORIA, IL 61603
Pediatrics (Pediatric Cardiology)
420 NE GLEN OAK AVE, SUITE 304
PEORIA, IL 61603
Surgery (Pediatric Surgery)
420 NE GLEN OAK AVE, SUITE 201
PEORIA, IL 61603
Clinical Nurse Specialist (Pediatrics)
420 NE GLEN OAK AVE, SUITE 401
PEORIA, IL 61603
Pediatrics (Pediatric Cardiology)
420 NE GLEN OAK AVE, SUITE 301
PEORIA, IL 61603
Pharmacist
420 NE GLEN OAK AVE
PEORIA, IL 61603
Pediatrics (Pediatric Cardiology)
420 NE GLEN OAK AVE, SUITE 304
PEORIA, IL 61603

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 Ty Hasselman's NPI number?

The NPI number for Ty Hasselman is 1861438434. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Ty Hasselman located?

Ty Hasselman practices at 420 NE Glen Oak Ave Suite 301, Peoria, IL 61603. The listed phone number is (309) 655-3453.

What is Ty Hasselman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Ty Hasselman enrolled in Medicare?

Yes. Ty Hasselman 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 organizations bill Medicare for Ty Hasselman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ty Hasselman reassigns Medicare benefits to 4 organizations: Board Of Trustees Of The University Of Illinois (Peoria, IL), Osf Multi-Specialty Group (Peoria, IL), Hoopeston Community Memorial Hospital (Hoopeston, IL) and Sarah Bush Lincoln Health Center (Mattoon, IL). Each 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 Ty Hasselman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ty Hasselman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Dean Health Plan and Wellmark Health Plan of Iowa, Inc. list Ty Hasselman 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.

Is Ty Hasselman affiliated with any hospitals?

According to CMS data, Ty Hasselman is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Ty Hasselman was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.