JAMES G. SZUDERA D.O.
NPI 1518072867
Emergency Medicine in Peoria, IL

Active since August 20, 2006PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2553(309) 655-2602 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James G. Szudera D.o. NPPES

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

JAMES G. SZUDERA D.O. (NPI 1518072867) is an individual emergency medicine provider in Peoria, Illinois, licensed in Illinois (036-112965) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518072867
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES G. SZUDERACredential: D.O.
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2000 · Fax (309) 655-7869
Fax(309) 655-2602
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 28, 2007
✔ NPI 1518072867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036-112965
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
530 NE GLEN OAK AVE, Peoria, IL 61637

Other Identifiers 5

Medicaid036112965IL
Medicare PINK17024IL
Other800810IL · Medicare Group Number
Medicare PINK33408IL
Medicare UPINI28503

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James G. Szudera D.o. 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 Reassignments

6

Medicare enrollment records show James Szudera reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
530 NE GLEN OAK AVE
Peoria, IL 61637
  • Reassigned Medicare billing, Illinois enrollment
  • 157 clinicians in this Medicare group
General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1265966048 (Illinois)
  • 693 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
Family Medicine
100 N MONROE ST
Abingdon, IL 61410
  • Reassigned Medicare billing, Illinois enrollment
  • 101 clinicians in this Medicare group
Critical Access
1000 W HARLEM AVE
Monmouth, IL 61462
  • Reassigned Medicare billing, Illinois enrollment
  • 18 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
162 services152 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
109 services101 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
83 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Szudera's NPI number?

The NPI number for James Szudera is 1518072867. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is James Szudera located?

James Szudera practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2553.

What is James Szudera's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Szudera enrolled in Medicare?

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

Which organizations bill Medicare for James Szudera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Szudera reassigns Medicare benefits to 6 organizations: Saint Francis Medical Center (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL), Osf Multi-Specialty Group (Peoria, IL), St. Mary Medical Center (Abingdon, IL), Osf Healthcare System (Monmouth, IL) and 1 more organization, listed in the Medicare section above. Each 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 James Szudera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Szudera was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.