EVELENA ONTIVEROS MD PHD – NPI #1689886962
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

EVELENA ONTIVEROS is a physician located in DECATUR, IL. NPPES has assigned the NPI number 1689886962 to EVELENA ONTIVEROS on May 07, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was last updated on Nov 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVELENA ONTIVEROS below.

NPI Profile for
EVELENA ONTIVEROS

NPI Number
1689886962
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
EVELENA ONTIVEROS
Credentials
MD PHD
Primary location
210 W MCKINLEY AVE STE 1
DECATUR, IL 62526-5858
Phone: (217) 876-6600 Fax: (217) 876-6606
2 Other location(s):
1990 E Lake Shore Dr
Decatur, IL 62521-3811
Phone: (217) 876-6600
Fax: (217) 876-6606
101 E 9th St Ste 1
Pana, IL 62557-1716
Phone: (217) 876-6600
Fax: (217) 876-6606
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Nov 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)		 IL 036143984

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE - Graduated 2004
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
EVELENA ONTIVEROS is affiliated with the following medical group(s):
  • HOSPITAL
    • DECATUR MEMORIAL HOSPITAL
      2300 NORTH EDWARD STREET
      DECATUR, IL 62526
    • ST MARYS HOSPITAL
      1800 E LAKE SHORE DR
      DECATUR, IL 62521

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