1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Pediatrics
  6. NPI Profile

MR. DAVID WILLIAM JANTZEN III M.D.
NPI 1649451352
Pediatrics - Pediatric Cardiology in Peoria, IL

Active since November 21, 2007PECOS Enrolled
420 NE GLEN OAK AVE, SUITE 301, PEORIA, IL 61603(309) 655-3453(309) 655-3410 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David William Jantzen Iii M.d. NPPES

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

MR. DAVID WILLIAM JANTZEN III M.D. (NPI 1649451352) is an individual pediatric cardiology provider in Peoria, Illinois, licensed in Illinois (036.138159) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649451352
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameMR. DAVID WILLIAM JANTZEN IIICredential: M.D.
Location Address420 NE GLEN OAK AVE, SUITE 301Peoria, IL 61603-3105
Mailing Address420 Ne Glen Oak Ave, Suite 301Peoria, IL 61603-3105 · (309) 655-3453 · Fax (309) 655-3410
Phone(309) 655-3453
Fax(309) 655-3410
Sole ProprietorNo
Enumeration DateNovember 21, 2007
Last NPPES UpdateJuly 15, 2015
✔ NPI 1649451352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in IL · 036.138159✔ Licensed in MI · 4301097945
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 4301097945 (MI), 5841 (NE)
420 NE GLEN OAK AVE, Peoria, IL 61603
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David William Jantzen Iii M.d. 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.

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.

LINDA SCHMIDGALL
Nurse Practitioner
420 NE GLEN OAK AVE, SUITE 200
PEORIA, IL 61603
Peoria County (309) 624-5100
SANDRA L. PEACH APN
Nurse Practitioner
420 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 655-2343
SAINT FRANCIS MEDICAL CENTER
Pediatrics (Pediatric Cardiology)
420 NE GLEN OAK AVE, SUITE 304
PEORIA, IL 61603
Peoria County (309) 655-3453
CHARLES APRAHAMIAN MD
Surgery (Pediatric Surgery)
420 NE GLEN OAK AVE, SUITE 201
PEORIA, IL 61603
Peoria County (309) 655-3800
MRS. HEATHER A BOORE APN, CNS-BC
Clinical Nurse Specialist (Pediatrics)
420 NE GLEN OAK AVE, SUITE 401
PEORIA, IL 61603
Peoria County (309) 624-9844
DR. MATTHEW T BRAMLET MD
Pediatrics (Pediatric Cardiology)
420 NE GLEN OAK AVE, SUITE 301
PEORIA, IL 61603
Peoria County (309) 655-3453
GREGORY PUSZKIEWICZ R.PH.
Pharmacist
420 NE GLEN OAK AVE
PEORIA, IL 61603
Peoria County (309) 624-8777
PEDIATRIC CARDIOLOGY ASSOCIATES SC
Pediatrics (Pediatric Cardiology)
420 NE GLEN OAK AVE, SUITE 304
PEORIA, IL 61603
Peoria County (309) 655-3453

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 David Jantzen's NPI number?

The NPI number for David Jantzen is 1649451352. It was assigned to this individual provider in the NPPES registry on November 21, 2007.

Where is David Jantzen located?

David Jantzen practices at 420 NE Glen Oak Ave Suite 301, Peoria, IL 61603. The listed phone number is (309) 655-3453.

What is David Jantzen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is David Jantzen enrolled in Medicare?

Yes. David Jantzen is registered in the Medicare PECOS enrollment system.

What insurance does David Jantzen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list David Jantzen 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.

When was this NPI record last updated?

The NPPES record for David Jantzen was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.