METHODIST MEDICAL CENTER OF ILLINOIS
NPI 1164474755
General Acute Care Hospital in Peoria, IL

Q: What is Methodist Medical Center Of Illinois's NPI number?

The NPI number for Methodist Medical Center Of Illinois is 1164474755. It was assigned to this organization in the NPPES registry on May 16, 2006.

Q: What is Methodist Medical Center Of Illinois's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since May 16, 2006

221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 672-5522 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2023, Feb 14, 2020, Jun 10, 2019 and 3 more (6 updates tracked since 2017).

On this page

About Methodist Medical Center Of Illinois NPPES

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

METHODIST MEDICAL CENTER OF ILLINOIS (NPI 1164474755) is a healthcare organization registered as a general acute care hospital in Peoria, Illinois and active in the NPI registry since May 2006. The organization lists Keith Knepp, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164474755

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameMETHODIST MEDICAL CENTER OF ILLINOIS

Location Address221 NE GLEN OAK AVEPeoria, IL 61636

Mailing Address221 Ne Glen Oak Ave, Gomp 100Peoria, IL 61636-0001

Phone(309) 672-5522

Organization SubpartNo

Authorized OfficialKeith KneppCeo · (309) 671-2528

Enumeration DateMay 16, 2006

Last NPPES UpdateMarch 28, 20236 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1164474755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in IL · 0001594

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

221 NE GLEN OAK AVE, Peoria, IL 61636

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Other Identifiers 1

Other0116IL · Blue Cross Prov. Number

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Methodist Medical Center Of Illinois is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

863

Medicare enrollment records show 863 clinicians reassign Medicare billing to Methodist Medical Center Of Illinois, which bills Medicare for the services they deliver. Of these, 55 practice at this address and 360 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 38

Nurse Practitioner189

Family Practice106

Internal Medicine104

Certified Registered Nurse Anesthetist (CRNA)69

Neurology50

Emergency Medicine49

Hospitalist35

Psychiatry28

30 other specialties233

Nearest to this location (20)

See all 863

Kylie Abney

Nurse Practitioner

NPI 1477124329

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5522

✔ PECOS✔ Accepts MedicareSame address

Aamina Ahmed, APN

Nurse Practitioner

NPI 1992422943

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 671-8297

✔ PECOSSame address

Joseph Babione

Clinical Psychologist

NPI 1417575853

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5522

✔ PECOS✔ Accepts MedicareSame address

Moaviz Badshah, M.D.

Internal Medicine

NPI 1114466885

221 NE GLEN OAK AVE
Peoria, IL 61636

(347) 820-4801

✔ PECOS✔ Accepts MedicareSame address

Emily Barnewolt, FNP

Nurse Practitioner

NPI 1508325457

221 NE GLEN OAK AVE EMERGENCY DEPARTMENT
Peoria, IL 61636

(309) 672-5500

✔ PECOS✔ Accepts MedicareSame address

Marlo Bewsey, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1568568129

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5654

✔ PECOS✔ Accepts MedicareSame address

Syed Bukhari, MD

Family Practice

NPI 1225052434

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5733

✔ PECOS✔ Accepts MedicareSame address

Matthew Carpenter, MD

Radiation Oncology

NPI 1043298334

221 NE GLEN OAK AVE DEPARTMENT OF RADIATION ONCOLOGY
Peoria, IL 61636

(309) 672-5700

✔ PECOS✔ Accepts MedicareSame address

Bazal Ehsan

Internal Medicine

NPI 1497242770

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 339-4357

✔ PECOS✔ Accepts MedicareSame address

Mohammad Gareeb, MD

Internal Medicine

NPI 1750909693

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5729

✔ PECOS✔ Accepts MedicareSame address

Michelle Lidvall, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1659789410

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5522

✔ PECOS✔ Accepts MedicareSame address

Matthew Mcmillin, MD

Family Practice

NPI 1528021987

221 NE GLEN OAK AVE
Peoria, IL 61603

(309) 672-5522

✔ PECOS✔ Accepts MedicareSame address

Anil Reddivari, M.D.,

Hospitalist

NPI 1164687968

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5729

✔ PECOS✔ Accepts MedicareSame address

Caleb Weiss

Psychiatry

NPI 1730649112

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 495-1640

✔ PECOS✔ Accepts MedicareSame address

Rizwan Amin, MD

Psychiatry

NPI 1205445558

221 NE GLEN OAK AVE
Peoria, IL 61636

(708) 369-1180

✔ PECOS✔ Accepts MedicareSame address

Adam Geier, MD

Emergency Medicine

NPI 1528703907

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5522

✔ PECOSSame address

Roby Lal, DO

Radiation Oncology

NPI 1811983489

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5702

✔ PECOS✔ Accepts MedicareSame address

Luis Rosario, MD

Critical Care (Intensivists)

NPI 1811201361

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5522

✔ PECOS✔ Accepts MedicareSame address

Saqib Walayat, M.D.

Gastroenterology

NPI 1649729732

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5546

✔ PECOS✔ Accepts MedicareSame address

Delinda Wills, MD

General Surgery

NPI 1063531804

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5522

✔ PECOS✔ Accepts MedicareSame address

See all 863 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 Methodist Medical Center Of Illinois's NPI number?

The NPI number for Methodist Medical Center Of Illinois is 1164474755. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Methodist Medical Center Of Illinois located?

Methodist Medical Center Of Illinois is located at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 672-5522.

What is Methodist Medical Center Of Illinois's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Methodist Medical Center Of Illinois enrolled in Medicare?

Yes. Methodist Medical Center Of Illinois is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Methodist Medical Center Of Illinois?

According to the CMS Revalidation Reassignment List (October 2026 release), 863 clinicians in 38 Medicare specialties reassign their Medicare billing to Methodist Medical Center Of Illinois. 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 (189), Family Practice (106) and Internal Medicine (104). Of these, 55 practice at this address and 360 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Methodist Medical Center Of Illinois was last updated on March 28, 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.