MR. JAMES ANTHONY CARUSO PA-C
NPI 1275612681
Physician Assistant - Medical in Peoria, IL

Active since November 04, 2006PECOS Enrolled
9601 NORTH LINDBERGH DR, # 230, PEORIA, IL 61615(309) 346-2045(309) 346-1761 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. James Anthony Caruso Pa-c NPPES

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

MR. JAMES ANTHONY CARUSO PA-C (NPI 1275612681) is an individual medical provider in Peoria, Illinois, licensed in North Carolina (102678) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275612681
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JAMES ANTHONY CARUSOCredential: PA-C
Location Address9601 NORTH LINDBERGH DR, # 230Peoria, IL 61615
Mailing Address300 Hanna Drive, Trailer 2Pekin, IL 61554 · (309) 346-2045 · Fax (309) 346-1761
Fax(309) 346-1761
Sole ProprietorNo
Enumeration DateNovember 4, 2006
Last NPPES UpdateOctober 11, 2013
NPI 1275612681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 102678
9601 NORTH LINDBERGH DR, Peoria, IL 61615

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. James Anthony Caruso Pa-c 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.

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 James Caruso's NPI number?

The NPI number for James Caruso is 1275612681. It was assigned to this individual provider in the NPPES registry on November 4, 2006.

Where is James Caruso located?

James Caruso practices at 9601 North Lindbergh Dr # 230, Peoria, IL 61615. The listed phone number is (309) 346-2045.

What is James Caruso's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is James Caruso enrolled in Medicare?

Yes. James Caruso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Caruso was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.