DR. REUBEN ANTONY MD
NPI 1265720510
Pediatrics - Pediatric Hematology-Oncology in Peoria, IL

Q: What is Reuben Antony's NPI number?

The NPI number for Reuben Antony is 1265720510. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Q: What is Reuben Antony's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Reuben Antony was last updated on July 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment

530 NE GLEN OAK AVE., C/O MS SUZY LEWELLEN,, PEORIA, IL 61637(646) 784-7829 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Reuben Antony Md NPPES

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

DR. REUBEN ANTONY MD (NPI 1265720510) is an individual pediatric hematology-oncology provider in Peoria, Illinois, licensed in Illinois (036.128251) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1265720510

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameDR. REUBEN ANTONYCredential: MD

Location Address530 NE GLEN OAK AVE., C/O MS SUZY LEWELLEN,Peoria, IL 61637

Mailing Address530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen,Peoria, IL 61637 · (646) 784-7829

Phone(646) 784-7829

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateJuly 20, 2011

✔ NPI 1265720510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in IL · 036.128251

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

530 NE GLEN OAK AVE., Peoria, IL 61637

Open in Google Maps ↗

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

Dr. Reuben Antony 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 ID8224208087

PECOS Enrollment IDI20160919002476

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.

Other Providers at the Same Location NPPES 5

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

MISS DEBOSHRUTI CHAKRABORTY M.B.B.S

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE.
PEORIA, IL 61637

Peoria County (309) 655-2274

SANDRA WANEMI SECONDUS M.D.

Pediatrics

530 NE GLEN OAK AVE.
PEORIA, IL 61637

Peoria County (309) 655-2274

MR. MUHAMMAD AHMED M.D

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE.
PEORIA, IL 61637

Peoria County (309) 655-2000

HASAN SHOAIB M.D.

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE., OSF ST. FRANCIS MEDICAL CENTER
PEORIA, IL 61637

Peoria County (309) 624-9351

YUSRA SELLAL MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE., OFFICE 5655, NORTH BUILDING
PEORIA, IL 61637

Peoria County (309) 655-2274

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 Reuben Antony's NPI number?

The NPI number for Reuben Antony is 1265720510. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Reuben Antony located?

Reuben Antony practices at 530 NE Glen Oak Ave. C/O Ms Suzy Lewellen,, Peoria, IL 61637. The listed phone number is (646) 784-7829.

What is Reuben Antony's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Reuben Antony enrolled in Medicare?

Yes. Reuben Antony 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.

When was this NPI record last updated?

The NPPES record for Reuben Antony was last updated on July 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.