Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PETER EGWOM MD
NPI 1649898784
Internal Medicine - Medical Oncology in Peoria, IL

Q: What is Peter Egwom's NPI number?

The NPI number for Peter Egwom is 1649898784. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Q: What is Peter Egwom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Peter Egwom was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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 July 06, 2020PECOS EnrolledAccepts Medicare Assignment

1310 N MISSOURI AVE, PEORIA, IL 61603(309) 308-3800(309) 623-2330 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, Jul 6, 2020 (2 updates tracked since 2020).

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About Peter Egwom Md NPPES

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

PETER EGWOM MD (NPI 1649898784) is an individual medical oncology provider in Peoria, Illinois, licensed in Illinois (036180445) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Northwest Hospital Center, and maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1649898784

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NamePETER EGWOMCredential: MD

Location Address1310 N MISSOURI AVEPeoria, IL 61603-3105

Mailing Address10 Center Dr Bldg 10Bethesda, MD 20892-0001 · (202) 412-1982 · Fax (240) 541-4546

Phone(309) 308-3800

Fax(309) 623-2330

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 6, 2020

Last NPPES UpdateJune 10, 20262 updates tracked since enumeration

NPPES CertifiedJune 10, 2026

✔ NPI 1649898784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in IL · 036180445

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2020020069 (MO), MD210011536 (MD)

1310 N MISSOURI AVE, Peoria, IL 61603

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Secondary Practice Location 1

Location 1NIH Hematology/Oncology Fellowship Program, 10 Center Drive, Building 10, Room B2L312Bethesda, MD 20892-0001 · Phone (202) 412-1982 · Fax (240) 541-4546

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Egwom 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 ID3971926635

PECOS Enrollment IDI20250616001924

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.

Hospital Affiliations CMS Care Compare

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

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210040

Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

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 8

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

JOSIE CATHRYN JEPSON PA

Physician Assistant