AZHAR GHUMRA
NPI 1184373615
Internal Medicine in Peoria, IL

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
221 NE GLEN OAK AVE, PEORIA, IL 61636(847) 840-3878 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Azhar Ghumra NPPES

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

AZHAR GHUMRA (NPI 1184373615) is an individual internal medicine provider in Peoria, Illinois, licensed in Illinois (036175963) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184373615
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAZHAR GHUMRA
Location Address221 NE GLEN OAK AVEPeoria, IL 61636-4604
Mailing Address221 Ne Glen Oak AvePeoria, IL 61636-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
✔ NPI 1184373615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036175963
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
221 NE GLEN OAK AVE, Peoria, IL 61636

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

Azhar Ghumra 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 ID3375993447
PECOS Enrollment IDI20250815002543
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

2

Medicare enrollment records show Azhar Ghumra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 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 4

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

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

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 61636 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.

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.

Student in an Organized Health Care Education/Training Program
221 NE GLEN OAK AVE
PEORIA, IL 61636
Internal Medicine
221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636
Radiology (Radiation Oncology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Nurse Anesthetist, Certified Registered
221 NE GLEN OAK AVE
PEORIA, IL 61636
Internal Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61636
Nurse Practitioner (Acute Care)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Anesthesiology
221 NE GLEN OAK AVE
PEORIA, IL 61636
Pathology (Anatomic Pathology & Clinical Pathology)
221 NE GLEN OAK AVE
PEORIA, IL 61636

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 Azhar Ghumra's NPI number?

The NPI number for Azhar Ghumra is 1184373615. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Azhar Ghumra located?

Azhar Ghumra practices at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (847) 840-3878.

What is Azhar Ghumra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Azhar Ghumra enrolled in Medicare?

Yes. Azhar Ghumra 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 Azhar Ghumra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Azhar Ghumra reassigns Medicare benefits to 2 organizations: Methodist Medical Center Of Illinois (Peoria, IL) and Carle Health Medical Group (Urbana, 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 Azhar Ghumra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Azhar Ghumra affiliated with any hospitals?

According to CMS data, Azhar Ghumra is affiliated with Proctor Hospital, Saint Francis Medical Center, Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Azhar Ghumra was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.