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DR. MAHILET FEKADU ASSEFA MD
NPI 1518607936
Surgery in Peoria, IL

Active since April 01, 2022
624 NE GLEN OAK AVENUE, PEORIA, IL 61603(309) 655-4775 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mahilet Fekadu Assefa Md NPPES

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

DR. MAHILET FEKADU ASSEFA MD (NPI 1518607936) is an individual surgery provider in Peoria, Illinois, licensed in Illinois (00000) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1518607936
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. MAHILET FEKADU ASSEFACredential: MD
Location Address624 NE GLEN OAK AVENUEPeoria, IL 61603
Mailing Address16 North AveBoston, MA 02119-3360 · (617) 372-2240
Phone(309) 655-4775
Sole ProprietorYes
Enumeration DateApril 1, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1518607936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 00000
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
624 NE GLEN OAK AVENUE, Peoria, IL 61603
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Other Providers at the Same Location NPPES

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

MS. CYNTHIA GUO MD
Student in an Organized Health Care Education/Training Program
624 NE GLEN OAK AVENUE, 2ND FLOOR
PEORIA, IL 61603
Peoria County (309) 655-2383

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 Mahilet Assefa's NPI number?

The NPI number for Mahilet Assefa is 1518607936. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Mahilet Assefa located?

Mahilet Assefa practices at 624 NE Glen Oak Avenue, Peoria, IL 61603. The listed phone number is (309) 655-4775.

What is Mahilet Assefa's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mahilet Assefa was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.