KUMARPAL SHRISHRIMAL MD
NPI 1023217551
Internal Medicine - Nephrology in Peoria, IL

Active since July 14, 2007PECOS EnrolledAccepts Medicare Assignment
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603(309) 676-8123(309) 676-8455 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2022, May 25, 2022, Nov 15, 2021 and 2 more (5 updates tracked since 2018).

About Kumarpal Shrishrimal Md NPPES

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

KUMARPAL SHRISHRIMAL MD (NPI 1023217551) is an individual nephrology provider in Peoria, Illinois, licensed in Illinois (036116634) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and maintains a secondary practice location in Normal.

NPPES Registry Identity

NPI1023217551
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameKUMARPAL SHRISHRIMALCredential: MD
Location Address420 NE GLEN OAK AVE STE 401Peoria, IL 61603-3112
Mailing Address420 Ne Glen Oak Ave Ste 401Peoria, IL 61603-3112 · (309) 676-8123 · Fax (309) 676-8455
Fax(309) 676-8455
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 14, 2007
Last NPPES UpdateJanuary 16, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
NPI 1023217551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in IL · 036116634
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
420 NE GLEN OAK AVE STE 401, Peoria, IL 61603

Secondary Practice Location 1

Location 11302 Franklin Ave Ste 3000Normal, IL 61761-6522 · Phone (309) 676-8123 · Fax (309) 676-8455

Other Identifiers 1

Medicaid036-116634IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kumarpal Shrishrimal 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 ID7416049853
PECOS Enrollment IDI20120919000832
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
614 services404 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
548 services189 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
286 services131 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
183 services25 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
132 services70 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
87 services86 patients

Hospital Affiliations CMS Care Compare 5

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$1.70 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers50 claims4,365 services$0.35 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers22 claims3,225 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims2,640 services$0.21 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers37 claims6,075 services$0.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers58 claims58 services$18.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Nurse Practitioner (Family)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Nurse Practitioner (Family)
420 NE GLEN OAK AVE STE 401
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 Kumarpal Shrishrimal's NPI number?

The NPI number for Kumarpal Shrishrimal is 1023217551. It was assigned to this individual provider in the NPPES registry on July 14, 2007.

Where is Kumarpal Shrishrimal located?

Kumarpal Shrishrimal practices at 420 NE Glen Oak Ave Ste 401, Peoria, IL 61603. The listed phone number is (309) 676-8123.

What is Kumarpal Shrishrimal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kumarpal Shrishrimal enrolled in Medicare?

Yes. Kumarpal Shrishrimal 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.

What insurance does Kumarpal Shrishrimal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Oscar Insurance Company list Kumarpal Shrishrimal 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 Kumarpal Shrishrimal affiliated with any hospitals?

According to CMS data, Kumarpal Shrishrimal is affiliated with Proctor Hospital, St Mary Medical Center, Saint Francis Medical Center, St Joseph Medical Center and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Kumarpal Shrishrimal was last updated on January 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.