METHODIST MEDICAL CENTER OF ILLINOIS
NPI 1265966048
Clinic/Center - Emergency Care in Peoria, IL

Active since April 18, 2017
221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 672-5522 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, Mar 15, 2018, Jul 19, 2017 and 1 more (4 updates tracked since 2017).

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 1265966048) is a healthcare organization registered as an emergency care in Peoria, Illinois and active in the NPI registry since April 2017. The organization lists Stephen M. Cirone, Regional Mgr-reimb/rev Recognition, as its authorized official.

NPPES Registry Identity

NPI1265966048
Entity TypeOrganization
Primary Taxonomy261QE0002X
Legal Business NameMETHODIST MEDICAL CENTER OF ILLINOIS
Location Address221 NE GLEN OAK AVEPeoria, IL 61636-0001
Mailing Address221 Ne Glen Oak AvePeoria, IL 61636-0001
Organization SubpartYes
Authorized OfficialStephen M. CironeRegional Mgr-reimb/rev Recognition · (309) 672-4813
Enumeration DateApril 18, 2017
Last NPPES UpdateFebruary 14, 20204 updates tracked since enumeration
✔ NPI 1265966048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Emergency CareAmbulatory Health Care Facilities
Taxonomy Code261QE0002X
221 NE GLEN OAK AVE, Peoria, IL 61636

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

188

Medicare enrollment records show 188 clinicians reassign Medicare billing to Methodist Medical Center Of Illinois, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 97 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Emergency Medicine71
Certified Registered Nurse Anesthetist (CRNA)67
Nurse Practitioner44
Family Practice3
Critical Care (Intensivists)1
Internal Medicine1
Physician Assistant1

Nearest to this location (20)

See all 188
Nurse Practitioner
NPI 1508325457
221 NE GLEN OAK AVE EMERGENCY DEPARTMENT
Peoria, IL 61636
(309) 672-5500
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568568129
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5654
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1043504368
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5500
✔ PECOSSame address
Nurse Practitioner
NPI 1205469988
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5500
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659789410
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1528021987
221 NE GLEN OAK AVE
Peoria, IL 61603
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1376505420
221 NE GLEN OAK AVE
Peoria, IL 61603
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285260414
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831831817
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770234726
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386929206
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5500
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1275229494
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 645-8759
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295178861
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 369-3357
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1528703907
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOSSame address
Nurse Practitioner
NPI 1508388372
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5500
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598239246
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5950
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1790063139
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609500248
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215624200
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1174107437
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
See all 188 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 1265966048. It was assigned to this organization in the NPPES registry on April 18, 2017.

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 Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.

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), 188 clinicians in 7 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 Emergency Medicine (71), Certified Registered Nurse Anesthetist (CRNA) (67) and Nurse Practitioner (44). Of these, 20 practice at this address and 97 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.