ROBERTO GORDILLO PEREZ MD
NPI 1407084759
Pediatrics - Pediatric Nephrology in Peoria, IL

Q: What is Roberto Gordillo Perez's NPI number?

The NPI number for Roberto Gordillo Perez is 1407084759. It was assigned to this individual provider in the NPPES registry on June 25, 2009. The provider is also known as Roberto Gordillo.

Q: What is Roberto Gordillo Perez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment

530 NE GLEN OAK AVE, DEPARTMENT OF PEDIATRICS, PEORIA, IL 61637(309) 624-3313(309) 655-2565 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Roberto Gordillo Perez Md NPPES

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

ROBERTO GORDILLO PEREZ MD (NPI 1407084759) is an individual pediatric nephrology provider in Peoria, Illinois, licensed in Illinois (036.126924) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Seattle Children's Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1407084759

Entity TypeIndividualMale

Primary Taxonomy2080P0210X

Provider Legal NameROBERTO GORDILLO PEREZCredential: MD

Location Address530 NE GLEN OAK AVE, DEPARTMENT OF PEDIATRICSPeoria, IL 61637-0001

Mailing Address530 Ne Glen Oak Ave, Department Of PediatricsPeoria, IL 61637-0001 · (309) 624-3313 · Fax (309) 655-2565

Phone(309) 624-3313

Fax(309) 655-2565

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJune 25, 2009

Last NPPES UpdateApril 12, 2011

✔ NPI 1407084759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

License✔ Licensed in IL · 036.126924

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Also ListedPediatricsTaxonomy 208000000X · License 036.126924 (IL)

530 NE GLEN OAK AVE, Peoria, IL 61637

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Other Names 1

Professional Name (2)Roberto Gordillo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Roberto Gordillo Perez 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 ID5193878627

PECOS Enrollment IDI20160705000875

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

25 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Seattle Children's Hospital

Childrens · Seattle, WA

OwnershipVoluntary non-profit - Private

CMS Certification Number503300

Location4800 Sand Point Way NE, PO Box C-5371Seattle, WA 98105 · King County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

2 suppliers17 claims7,200 services$1.19 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers15 claims1,980 services$0.13 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

5 suppliers16 claims16 services$18.96 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

5 suppliers15 claims15 services$12.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. DEEPAK S NAIR M.D.

Psychiatry & Neurology (Neurology)

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

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

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 Roberto Gordillo Perez's NPI number?

The NPI number for Roberto Gordillo Perez is 1407084759. It was assigned to this individual provider in the NPPES registry on June 25, 2009. The provider is also known as Roberto Gordillo.

Where is Roberto Gordillo Perez located?

Roberto Gordillo Perez practices at 530 NE Glen Oak Ave Department Of Pediatrics, Peoria, IL 61637. The listed phone number is (309) 624-3313.

What is Roberto Gordillo Perez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Roberto Gordillo Perez enrolled in Medicare?

Yes. Roberto Gordillo Perez 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.

What insurance does Roberto Gordillo Perez accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Roberto Gordillo Perez 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.

Is Roberto Gordillo Perez affiliated with any hospitals?

According to CMS data, Roberto Gordillo Perez is affiliated with Seattle Children's Hospital.

When was this NPI record last updated?

The NPPES record for Roberto Gordillo Perez was last updated on April 12, 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.