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ROBERT PERRY DUNWOODY
NPI 1306307681
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since March 28, 2019PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-9949 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert Perry Dunwoody NPPES

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

ROBERT PERRY DUNWOODY (NPI 1306307681) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306307681
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROBERT PERRY DUNWOODY
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address325 Mapmaker LnSavannah, GA 31410-2010
Phone(309) 624-9949
Sole ProprietorYes
Enumeration DateMarch 28, 2019
✔ NPI 1306307681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NE GLEN OAK AVE, Peoria, IL 61637
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Perry Dunwoody 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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Dunwoody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Tennessee Medical Group Inc
352 mi
Internal Medicine
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 242 clinicians in this Medicare group
NPI 1053615955 (731) 660-8730

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109
ABIGAIL V. WELU DO
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6710
DR. JAMES DANIEL DEWAR D.O.
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-7257

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 Robert Dunwoody's NPI number?

The NPI number for Robert Dunwoody is 1306307681. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Robert Dunwoody located?

Robert Dunwoody practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-9949.

What is Robert Dunwoody's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Robert Dunwoody enrolled in Medicare?

Yes. Robert Dunwoody is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Dunwoody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Dunwoody reassigns Medicare benefits to West Tennessee Medical Group Inc (Jackson, TN). The 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 Robert Dunwoody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Dunwoody accept?

Health plans from BlueCross BlueShield of Tennessee list Robert Dunwoody as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Dunwoody was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.