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MR. MICHAEL JOSEPH GOOTEE MD
NPI 1720050982
Otolaryngology - Plastic Surgery within the Head & Neck in Peoria, IL

Active since February 02, 2006PECOS Enrolled
420 NE GLEN OAK AVE, PEORIA, IL 61603(309) 655-4180(309) 655-3948 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Michael Joseph Gootee Md NPPES

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

MR. MICHAEL JOSEPH GOOTEE MD (NPI 1720050982) is an individual plastic surgery within the head & neck provider in Peoria, Illinois, licensed in Illinois (036090454) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720050982
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameMR. MICHAEL JOSEPH GOOTEECredential: MD
Location Address420 NE GLEN OAK AVEPeoria, IL 61603-3105
Mailing Address420 Ne Glen Oak AvePeoria, IL 61603-3105 · (309) 655-4180 · Fax (309) 655-3948
Phone(309) 655-4180
Fax(309) 655-3948
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateMarch 20, 2018
✔ NPI 1720050982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in IL · 036090454
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
420 NE GLEN OAK AVE, Peoria, IL 61603
Open in Google Maps ↗

Other Identifiers 1

Medicaid036090454IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Joseph Gootee 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Gootee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osf Multi-Specialty Group
7.4 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michael Gootee's NPI number?

The NPI number for Michael Gootee is 1720050982. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Michael Gootee located?

Michael Gootee practices at 420 NE Glen Oak Ave, Peoria, IL 61603. The listed phone number is (309) 655-4180.

What is Michael Gootee's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Michael Gootee enrolled in Medicare?

Yes. Michael Gootee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Gootee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gootee reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Gootee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Gootee was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.