1. Home
  2. Directory
  3. Illinois
  4. Decatur
  5. Internal Medicine
  6. NPI Profile

CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.
NPI 1871580142
Internal Medicine - Medical Oncology in Decatur, IL

Active since October 03, 2005CLIA 14D0904141 · Accreditation
210 W MCKINLEY AVE, SUITE 1, DECATUR, IL 62526(217) 876-6600(217) 876-6606 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2024, Jun 14, 2024 (2 updates tracked since 2024).

About Cancer Care Specialists Of Central Illinois, S.c. NPPES

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

CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. (NPI 1871580142) is a healthcare organization registered as a medical oncology in Decatur, Illinois and active in the NPI registry since October 2005. The organization holds an CLIA Accreditation certificate valid through September 7, 2027, maintains 20 additional practice locations, and lists Justin D Floyd, President, as its authorized official.

NPPES Registry Identity

NPI1871580142
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameCANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.
Location Address210 W MCKINLEY AVE, SUITE 1Decatur, IL 62526-5858
Mailing Address210 W Mckinley Ave, Suite 1Decatur, IL 62526-5858 · (217) 876-6600 · Fax (217) 876-6606
Phone(217) 876-6600
Fax(217) 876-6606
Organization SubpartNo
Authorized OfficialJustin D FloydPresident · (618) 416-7970
Enumeration DateOctober 3, 2005
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1871580142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in IL · 042005607
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License 042005607 (IL)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 042005607 (IL)
210 W MCKINLEY AVE, Decatur, IL 62526
Open in Google Maps ↗

Secondary Practice Locations 20

Location 1213 NW 10th St Ste DFairfield, IL 62837-1219 · Phone (618) 847-8296 · Fax (618) 847-8398
Location 2101 E 9th St Ste 1Pana, IL 62557-1785 · Phone (217) 876-6600 · Fax (217) 876-6606
Location 31201 Ricker RdSalem, IL 62881-4263 · Phone (618) 436-5410 · Fax (618) 436-8063
Location 4207 S Pine St Ste FShelbyville, IL 62565-1749 · Phone (217) 876-6606 · Fax (217) 876-6606
Location 5Broadway Plaza, Suite 1Sparta, IL 62286-1800 · Phone (618) 416-7970 · Fax (618) 416-7971
Location 61990 E Lake Shore DrDecatur, IL 62521-3811 · Phone (217) 876-6600 · Fax (217) 876-6606
Location 72 W Adams StSullivan, IL 61951-1943 · Phone (217) 876-6600 · Fax (217) 876-6606
Location 8650 W Taylor StVandalia, IL 62471-1227 · Phone (217) 342-2066 · Fax (217) 342-2074
Location 91052 ML King Drive, Suite 2Centralia, IL 62801-3002 · Phone (618) 436-5410 · Fax (618) 436-5410
Location 10201 E Pleasant StTaylorville, IL 62568-1597 · Phone (217) 707-5430 · Fax (217) 707-5232
Location 111001 Health Center DrMattoon, IL 61938-4693 · Phone (217) 258-2250 · Fax (217) 258-2249
Location 12422 W White StClinton, IL 61727-2272 · Phone (217) 876-6600 · Fax (217) 876-6606
Location 139515 Holy Cross Ln Ste 6Breese, IL 62230-3618 · Phone (618) 526-8585 · Fax (618) 526-2855
Location 14321 Regency Park Ste 100O Fallon, IL 62269-1887 · Phone (618) 416-7970 · Fax (618) 416-7971
Location 15905 Medical Park DrEffingham, IL 62401-2190 · Phone (217) 342-2066 · Fax (217) 342-2074
Location 162 Sage Crossing Blvd Ste AMonticello, IL 61856-4206 · Phone (217) 817-8517 · Fax (217) 817-8516
Location 17800 E Locust StOlney, IL 62450-2553 · Phone (217) 342-2066 · Fax (217) 342-2074
Location 18929 Stacey Burk DrFlora, IL 62839-3241 · Phone (217) 342-2066 · Fax (217) 342-2074
Location 19200 Health Care Dr Ste 1501Greenville, IL 62246-1154 · Phone (618) 436-5410 · Fax (618) 664-2424
Location 2012860 Troxler Ave Ste 135Highland, IL 62249-2898 · Phone (618) 651-2893 · Fax (618) 654-6462

Other Identifiers 1

Other0005815189IL · Blue Cross/blue Shield Of

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield.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)

Cancer Care Specialists Of Central Illinois, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Cancer Care Specialists Of Central Illinois, S.C., which bills Medicare for the services they deliver. Of these, 14 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Hematology/Oncology12
Nurse Practitioner12
Radiation Oncology8
Medical Oncology3
Hematology1

Nearest to this location (20)

See all 36
Mary Depaz, MD
Radiation Oncology
NPI 1700846664
210 W. MCKINLEY AVE STE 2
Decatur, IL 62526
(217) 876-6600
✔ PECOS✔ Accepts MedicareSame address
Radwan Diab, M.D.
Hematology
NPI 1699398297
210 W MCKINLEY AVE STE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOS✔ Accepts MedicareSame address
Edward Elliott, MD
Radiation Oncology
NPI 1790748119
210 W. MCKINLEY AVE STE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOSSame address
Benjamin Esparaz, M.D.
Hematology/Oncology
NPI 1275502940
210 W MCKINLEY AVE STE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOSSame address
Dolores Estrada-Garcia, MD
Hematology/Oncology
NPI 1316950033
210 W. MCKINLEY AVE SUITE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOS✔ Accepts MedicareSame address
Perry Guaglianone, M.D.
Hematology/Oncology
NPI 1932168309
210 W MCKINLEY AVE SUITE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOS✔ Accepts MedicareSame address
Sebastien Kairouz, M.D.
Medical Oncology
NPI 1396701009
210 W MCKINLEY AVE SUITE 1
Decatur, IL 62526
(217) 877-9442
✔ PECOS✔ Accepts MedicareSame address
Sarah Mackey, FNP-C
Nurse Practitioner
NPI 1275102113
210 W MCKINLEY AVE STE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOS✔ Accepts MedicareSame address
Evelena Ontiveros, MD PHD
Hematology/Oncology
NPI 1689886962
210 W MCKINLEY AVE STE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOS✔ Accepts MedicareSame address
Kristi Toennies, NP
Nurse Practitioner
NPI 1366467755
210 W. MCKINLEY AVE STE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOS✔ Accepts MedicareSame address
Mario Velasco, MD
Hematology/Oncology
NPI 1326007782
210 W MCKINLEY AVE SUITE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOS✔ Accepts MedicareSame address
James Wade, M.D.
Medical Oncology
NPI 1992774459
210 W. MCKINLEY AVE STE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOSSame address
Christel Wheeler, FNP
Nurse Practitioner
NPI 1588133003
210 W MCKINLEY AVE STE 1
Decatur, IL 62526
(217) 876-6600
✔ PECOS✔ Accepts MedicareSame address
Harold Yoon, MD
Radiation Oncology
NPI 1558566984
210 W MCKINLEY AVE STE 1
Decatur, IL 62526
(217) 877-9442
✔ PECOS✔ Accepts MedicareSame address
Renata Moore, M.D.
Radiation Oncology
NPI 1851483572
1990 E LAKE SHORE DR
Decatur, IL 62521
(217) 464-2900
✔ PECOS✔ Accepts Medicare3.3 mi
Seong Cho, MD
Radiation Oncology
NPI 1811082886
1001 HEALTH CENTER DR
Mattoon, IL 61938
(217) 258-2250
✔ PECOS✔ Accepts Medicare45 mi
Rachel Kline, FNP-C
Nurse Practitioner
NPI 1861070120
208 N CHERRY ST
Stewardson, IL 62463
(618) 292-4171
✔ PECOS✔ Accepts Medicare46 mi
Kaylee Beals, DNP, APRN FNP-BC
Nurse Practitioner
NPI 1093429300
905 MEDICAL PARK DR
Effingham, IL 62401
(217) 342-2066
✔ PECOS✔ Accepts Medicare55 mi
Philip Dy, M.D.
Medical Oncology
NPI 1710076567
905 MEDICAL PARK DR
Effingham, IL 62401
(217) 342-2066
✔ PECOS✔ Accepts Medicare55 mi
Hanna Saba, MD
Hematology/Oncology
NPI 1720070386
905 MEDICAL PARK DR
Effingham, IL 62401
(217) 342-2066
✔ PECOS✔ Accepts Medicare55 mi
See all 36 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0904141

Cancer Care Specialists Of Central Il · Effingham, IL
Active · expires Sep 7, 2027
CLIA Number14D0904141
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorPerry Guaglianone
Laboratory Phone(217) 342-2066
Laboratory LocationCancer Care Specialists Of Central Il905 Medical Park Drive, Effingham, IL 62401
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Cancer Care Specialists Of Central Illinois, S.C.'s NPI number?

The NPI number for Cancer Care Specialists Of Central Illinois, S.C. is 1871580142. It was assigned to this organization in the NPPES registry on October 3, 2005.

Where is Cancer Care Specialists Of Central Illinois, S.C. located?

Cancer Care Specialists Of Central Illinois, S.C. is located at 210 W Mckinley Ave Suite 1, Decatur, IL 62526. The listed phone number is (217) 876-6600.

What is Cancer Care Specialists Of Central Illinois, S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Cancer Care Specialists Of Central Illinois, S.C. enrolled in Medicare?

Yes. Cancer Care Specialists Of Central Illinois, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cancer Care Specialists Of Central Illinois, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 5 Medicare specialties reassign their Medicare billing to Cancer Care Specialists Of Central Illinois, S.C.. 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 (12), Nurse Practitioner (12) and Radiation Oncology (8). Of these, 14 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cancer Care Specialists Of Central Illinois, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0904141) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cancer Care Specialists Of Central Illinois, S.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Anthem Blue Cross and Blue Shield list Cancer Care Specialists Of Central Illinois, S.C. 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 Cancer Care Specialists Of Central Illinois, S.C. was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.