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DR. NIZAR KHERALLAH MD
NPI 1669467726
Pediatrics - Pediatric Pulmonology in Peoria, IL

Active since September 15, 2005PECOS Enrolled
530 NE GLEN OAK AVE DEPT OF, PEORIA, IL 61637(309) 624-9844(309) 624-9844 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Nov 19, 2017 (2 updates tracked since 2017).

About Dr. Nizar Kherallah Md NPPES

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

DR. NIZAR KHERALLAH MD (NPI 1669467726) is an individual pediatric pulmonology provider in Peoria, Illinois, licensed in Ohio (35072648) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1669467726
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameDR. NIZAR KHERALLAHCredential: MD
Location Address530 NE GLEN OAK AVE DEPT OFPeoria, IL 61637-2673
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 624-4542
Phone(309) 624-9844
Fax(309) 624-9844
Sole ProprietorYes
Enumeration DateSeptember 15, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1669467726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in OH · 35072648
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
530 NE GLEN OAK AVE DEPT OF, Peoria, IL 61637
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Secondary Practice Location 1

Location 12222 Cherry St, Suite 2900Toledo, OH 43608-2673 · Phone (419) 251-6430 · Fax (419) 251-6433

Other Identifiers 1

Medicaid2122661OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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)

Dr. Nizar Kherallah Md 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.

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 Nizar Kherallah's NPI number?

The NPI number for Nizar Kherallah is 1669467726. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Nizar Kherallah located?

Nizar Kherallah practices at 530 NE Glen Oak Ave Dept Of, Peoria, IL 61637. The listed phone number is (309) 624-9844.

What is Nizar Kherallah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Nizar Kherallah enrolled in Medicare?

Yes. Nizar Kherallah is registered in the Medicare PECOS enrollment system.

What insurance does Nizar Kherallah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Nizar Kherallah 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 Nizar Kherallah was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.