PERU PRIMARY CARE PROFESSIONALS LLC
NPI 1568591048
Family Medicine in Peru, IL

NPI Status: Active since March 02, 2007

Contact Information

920 WEST ST
SUITE 311
PERU, IL
ZIP 61354
Phone: (815) 223-9214
Fax: (815) 223-9322

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  • Organization
  • Family Medicine

About PERU PRIMARY CARE PROFESSIONALS LLC

This page provides the complete NPI Profile along with additional information for Peru Primary Care Professionals Llc, a primary care provider established in Peru, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1568591048 assigned on March 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 036111100 (IL). The provider is registered as an organization and their NPI record was last updated 18 years ago. Peru Primary Care Professionals Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mark A. Fernandez M.d. (Partner)

NPI
1568591048
Provider Name
PERU PRIMARY CARE PROFESSIONALS LLC
Entity Type
Organization
Location Address
920 WEST ST SUITE 311 PERU, IL 61354
Location Phone
(815) 223-9214
Location Fax
(815) 223-9322
Mailing Address
920 WEST ST SUITE 311 PERU, IL 61354
Mailing Phone
(815) 223-9214
Mailing Fax
(815) 223-9322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2007
Last Update Date
11-20-2008
Code Navigator

A primary care provider (PCP) like Peru Primary Care Professionals Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
036111100
License State
IL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

036089936 (IL)
2207RG0300XAllopathic & Osteopathic Physicians

Internal Medicine
Geriatric Medicine

036089936 (IL)
3208000000XAllopathic & Osteopathic Physicians

Pediatrics

036089936 (IL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK A. FERNANDEZ M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(815) 223-9214

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C52077MEDICARE UPIN (02) 
K09062MEDICARE ID-TYPE UNSPECIFIED (04) 
K08696MEDICARE ID-TYPE UNSPECIFIED (04) 
H75096MEDICARE UPIN (02) 
036111100MEDICAID (05)IL 
036089936MEDICAID (05)IL 
215096MEDICARE PIN (08) 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568591048, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 0 + 9 + 2 + 0 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1568591048.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
920 WEST ST, STE 311
PERU, IL 61354
Surgery
920 WEST ST, SUITE 214
PERU, IL 61354
Internal Medicine (Gastroenterology)
920 WEST ST, SUITE 116
PERU, IL 61354
Orthopaedic Surgery
920 WEST ST, STE 211
PERU, IL 61354
Orthopaedic Surgery
920 WEST ST, STE 211
PERU, IL 61354
Pediatrics
920 WEST ST, BUILDING A SUITE 116
PERU, IL 61354
Internal Medicine
920 WEST ST, SUITE 111
PERU, IL 61354
Physician Assistant (Surgical)
920 WEST ST, SUITE 211
PERU, IL 61354
Physician Assistant
920 WEST ST, SUITE 211
PERU, IL 61354
Advanced Practice Midwife
920 WEST ST, BLDG B
PERU, IL 61354
Pharmacist
920 WEST ST
PERU, IL 61354
Pharmacist
920 WEST ST
PERU, IL 61354
Pharmacist
920 WEST ST
PERU, IL 61354
Internal Medicine
920 WEST ST, SUITE 111
PERU, IL 61354
Advanced Practice Midwife
920 WEST ST, BLDG B
PERU, IL 61354
Internal Medicine (Gastroenterology)
920 WEST ST, SUITE 116
PERU, IL 61354
Family Medicine
920 WEST ST, SUITE 311
PERU, IL 61354
Surgery
920 WEST ST, SUITE 118
PERU, IL 61354
Clinic/Center
920 WEST ST, BLDG B
PERU, IL 61354
Internal Medicine
920 WEST ST, SUITE 218
PERU, IL 61354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568591048, enumerated as an "organization" on March 02, 2007.

The provider is located at 920 WEST ST SUITE 311 PERU, IL 61354 and the phone number is (815) 223-9214.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.