METHODIST MEDICAL GROUP
NPI 1184670663
Family Medicine in Peoria, IL

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

The NPI number for Methodist Medical Center Of Illinois is 1184670663. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Methodist Medical Group.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 26, 2006

120 NE GLEN OAK AVE, SUITE 101, PEORIA, IL 61603(309) 671-8230(309) 671-5118 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2020, Jun 18, 2018, Mar 15, 2018 (3 updates tracked since 2018).

On this page

About Methodist Medical Group NPPES

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

METHODIST MEDICAL GROUP (NPI 1184670663) is a healthcare organization registered as a family medicine in Peoria, Illinois and active in the NPI registry since May 2006. The organization lists Stephen M. Cirone, Regional Mgr-reimb/rev Recognition, as its authorized official.

NPPES Registry Identity

NPI1184670663

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMETHODIST MEDICAL CENTER OF ILLINOIS

Location Address120 NE GLEN OAK AVE, SUITE 101Peoria, IL 61603

Mailing Address5100 Reliable PkwyChicago, IL 60686-0051

Phone(309) 671-8230

Fax(309) 671-5118

Organization SubpartNo

Authorized OfficialStephen M. CironeRegional Mgr-reimb/rev Recognition · (309) 672-4813

Enumeration DateMay 26, 2006

Last NPPES UpdateFebruary 14, 20203 updates tracked since enumeration

✔ NPI 1184670663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X

120 NE GLEN OAK AVE, Peoria, IL 61603

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Other Names 1

Doing Business AsMethodist Medical Group

Other Identifiers 1

Other7215059IL · Bcbs Ppo

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

811

Medicare enrollment records show 811 clinicians reassign Medicare billing to Methodist Medical Group, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 318 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 38

Nurse Practitioner189

Family Practice107

Internal Medicine105

Neurology54

Emergency Medicine49

Hospitalist37

Psychiatry28

Urology23

30 other specialties219

Nearest to this location (20)

See all 811

Amber Hemminger

Certified Clinical Nurse Specialist (CNS)

NPI 1497141758

200 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5522

✔ PECOS✔ Accepts MedicareSame address

Kapil Aedma, M.D

Psychiatry

NPI 1437438249

900 MAIN ST STE 400
Peoria, IL 61602

(309) 672-3100

✔ PECOS✔ Accepts MedicareSame address

Kaylee Atria, LCSW

Clinical Social Worker

NPI 1396560975

900 MAIN ST STE 400
Peoria, IL 61602

(309) 672-3100

✔ PECOS✔ Accepts MedicareSame address

Isha Bhatt, MS, M.D.

Internal Medicine

NPI 1598148363

900 MAIN ST STE 600
Peoria, IL 61602

(309) 671-8270

✔ PECOS✔ Accepts MedicareSame address

Arvind Reddy Devanabanda

Internal Medicine

NPI 1578974069

900 MAIN ST STE 660
Peoria, IL 61602

(309) 672-4760

✔ PECOS✔ Accepts MedicareSame address

John Dooley, MD

Vascular Surgery

NPI 1386625895

900 MAIN ST STE 660
Peoria, IL 61602

(309) 672-4670

✔ PECOS✔ Accepts MedicareSame address

Jill Flynn, APN

Nurse Practitioner

NPI 1245114347

900 MAIN ST STE 660
Peoria, IL 61602

(309) 643-6118

✔ PECOS✔ Accepts MedicareSame address

Vaughn Hanna, MD

Rheumatology

NPI 1912912213

900 MAIN ST STE 600
Peoria, IL 61602

(309) 671-8271

✔ PECOS✔ Accepts MedicareSame address

Ravindra Kashyap, M.D.

Pulmonary Disease

NPI 1437145273

900 MAIN ST STE 630
Peoria, IL 61602

(309) 672-4433

✔ PECOS✔ Accepts MedicareSame address

Syeda Naqvi, MD

Endocrinology

NPI 1174009963

900 MAIN ST
Peoria, IL 61602

(309) 672-4565

✔ PECOS✔ Accepts MedicareSame address

Sai Aparna Nelakanti

Endocrinology

NPI 1801159165

900 MAIN ST STE 470
Peoria, IL 61602

(309) 672-4565

✔ PECOS✔ Accepts MedicareSame address

Walter Reid, DO

General Surgery

NPI 1932180387

900 MAIN ST SUITE 530
Peoria, IL 61602

(309) 672-5975

✔ PECOS✔ Accepts MedicareSame address

Nicholas Rogers

Psychiatry

NPI 1164086385

900 MAIN ST
Peoria, IL 61602

(309) 672-3100

✔ PECOS✔ Accepts MedicareSame address

Tina Schaffer, ANP

Nurse Practitioner

NPI 1558380246

900 MAIN ST STE 100
Peoria, IL 61602

(309) 671-7772

✔ PECOS✔ Accepts MedicareSame address

Michelle Valentine, LCSW

Clinical Social Worker

NPI 1689045775

900 MAIN ST STE 400
Peoria, IL 61602

(309) 672-3100

✔ PECOS✔ Accepts MedicareSame address

Aiyub Patel, M.D.

Pulmonary Disease

NPI 1215153077

900 MAIN ST SUITE 630
Peoria, IL 61602

(309) 672-4433

✔ PECOS✔ Accepts MedicareSame address

Hrudya Abraham, MD

Rheumatology

NPI 1497135750

900 MAIN ST STE 600
Peoria, IL 61602

(309) 671-8270

✔ PECOSSame address

Jianming Dong, MD

Neurology

NPI 1619981305

900 MAIN ST SUITE 250
Peoria, IL 61602

(309) 672-4522

✔ PECOSSame address

Jay Harms, MD

Family Practice

NPI 1518075282

900 MAIN ST STE 210
Peoria, IL 61602

(309) 689-6074

✔ PECOS✔ Accepts MedicareSame address

Subhash Patel, M.D.

Interventional Cardiology

NPI 1891986907

900 MAIN ST STE 320
Peoria, IL 61602

(309) 672-3140

✔ PECOS✔ Accepts MedicareSame address

See all 811 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 1184670663. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Methodist Medical Group.

Where is Methodist Medical Center Of Illinois located?

Methodist Medical Center Of Illinois is located at 120 NE Glen Oak Ave Suite 101, Peoria, IL 61603. The listed phone number is (309) 671-8230.

What is Methodist Medical Center Of Illinois's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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), 811 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 (107) and Internal Medicine (105). Of these, 17 practice at this address and 318 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 February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.