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RISHI MANISH BOTHARA M.B.B.S.
NPI 1225729650
Internal Medicine in Peoria, IL

Active since May 17, 2023PECOS Enrolled
530 N.E. GLEN OAK AVE, PEORIA, IL 61637(309) 624-9351(309) 655-7732 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2023, May 17, 2023 (2 updates tracked since 2023).

About Rishi Manish Bothara M.b.b.s. NPPES

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

RISHI MANISH BOTHARA M.B.B.S. (NPI 1225729650) is an individual internal medicine provider in Peoria, Illinois, licensed in Illinois (036177264) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225729650
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRISHI MANISH BOTHARACredential: M.B.B.S.
Location Address530 N.E. GLEN OAK AVEPeoria, IL 61637
Mailing AddressOsf St. Francis Medical Center, 530 Ne Glen Oak Ave, Internal Medicine ResidencyPeoria, IL 61637 · (309) 624-9351
Phone(309) 624-9351
Fax(309) 655-7732
Sole ProprietorNo
Enumeration DateMay 17, 2023
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1225729650 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 · 036177264
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.
530 N.E. GLEN OAK AVE, Peoria, IL 61637
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rishi Manish Bothara M.b.b.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHISH KUMAR ROY
Internal Medicine
530 N.E. GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6384
MR. JUSTIN DUANE FREDERICK KEARNEY M.D.
Internal Medicine
530 N.E. GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6384
MISS DARSHINE VENUGOPAL M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 N.E. GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6384

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 Rishi Bothara's NPI number?

The NPI number for Rishi Bothara is 1225729650. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Rishi Bothara located?

Rishi Bothara practices at 530 N.E. Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-9351.

What is Rishi Bothara's specialty?

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

Is Rishi Bothara enrolled in Medicare?

Yes. Rishi Bothara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rishi Bothara was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.