DR. PENELOPE A EWBANK MD
NPI 1558358911
Allergy & Immunology in Peoria, IL

Q: What is Penelope Ewbank's NPI number?

The NPI number for Penelope Ewbank is 1558358911. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Q: What is Penelope Ewbank's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Penelope Ewbank was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment

6615 N BIG HOLLOW RD, PEORIA, IL 61615(309) 691-5200(309) 691-5201 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 8, 2021, May 12, 2021 (2 updates tracked since 2021).

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About Dr. Penelope A Ewbank Md NPPES

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

DR. PENELOPE A EWBANK MD (NPI 1558358911) is an individual allergy & immunology provider in Peoria, Illinois, licensed in Illinois (036104932) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Washington University School Of Medicine (1996).

NPPES Registry Identity

NPI1558358911

Entity TypeIndividualFemale

Primary Taxonomy207K00000X

Provider Legal NameDR. PENELOPE A EWBANKCredential: MD

Location Address6615 N BIG HOLLOW RDPeoria, IL 61615

Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541

Phone(309) 691-5200

Fax(309) 691-5201

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1996

Enumeration DateSeptember 30, 2005

Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration

NPPES CertifiedJuly 8, 2021

✔ NPI 1558358911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in IL · 036104932

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

6615 N BIG HOLLOW RD, Peoria, IL 61615

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Other Identifiers 1

Medicaid036104932IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Penelope A Ewbank 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 ID8123121639

PECOS Enrollment IDI20110303000077

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 Penelope Ewbank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Springfield Clinic, LLP

67 mi

Multi-Specialty

1025 S 6TH ST
Springfield, IL 62703

Reassigned Medicare billing, Illinois enrollment
735 clinicians in this Medicare group

NPI 1780638478 (217) 528-7541

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 8

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.

Test for allergy using skin patch 95044

A skin patch test helps identify allergens causing skin reactions. Small patches with potential allergens are applied to your skin, usually on the back. After 48 hours, they are removed to check for reactions. It's a safe and effective way to diagnose allergies.

884 services13 patients

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

318 services16 patients

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.

143 services87 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

142 services13 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

100 services78 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

46 services42 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140110

Location1100 E Norris DriveOttawa, IL 61350 · La Salle County

Emergency services Birthing friendly

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

2 suppliers23 claims92 services$18.37 avg. paid by Medicare

Injection, immune globulin (xembify), 100 mg J1558

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims11,440 services$10.74 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

2 suppliers21 claims186 services$2.36 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.

KEVIN SISCOE LCPC

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