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MICHAEL D. TARANTINO, M.D. S.C.
NPI 1740430784
Pediatrics - Pediatric Hematology-Oncology in Peoria, IL

Active since September 26, 2008
427 W NORTHMOOR RD, PEORIA, IL 61614(309) 692-5337(309) 693-3913 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2022, Jul 30, 2021, Jun 25, 2021 (3 updates tracked since 2021).

About Michael D. Tarantino, M.d. S.c. NPPES

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

MICHAEL D. TARANTINO, M.D. S.C. (NPI 1740430784) is a healthcare organization registered as a pediatric hematology-oncology in Peoria, Illinois and active in the NPI registry since September 2008. The organization lists Michael D. Tarantino, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1740430784
Entity TypeOrganization
Primary Taxonomy2080P0207X
Legal Business NameMICHAEL D. TARANTINO, M.D. S.C.
Location Address427 W NORTHMOOR RDPeoria, IL 61614-3542
Mailing Address2 Old Farm LnWashington, IL 61571-9733 · (309) 370-6124 · Fax (309) 693-3913
Phone(309) 692-5337
Fax(309) 693-3913
Organization SubpartNo
Authorized OfficialMichael D. TarantinoMedical Director · (309) 370-6124
Enumeration DateSeptember 26, 2008
Last NPPES UpdateJuly 15, 20223 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1740430784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
427 W NORTHMOOR RD, Peoria, IL 61614
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Other Identifiers 3

Other7225372IL · Bcbs Of Il
Medicaid398680716IL
OtherP00096725Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael D. Tarantino, M.d. S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Michael D. Tarantino, M.D. S.C., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner7
Hematology/Oncology2
Pediatric Medicine2
Physical Therapist in Private Practice2

Clinicians, nearest first (13)

Kristin Ansteatt, APRN, FNP-BC
Nurse Practitioner
NPI 1396396024
427 W NORTHMOOR RD
Peoria, IL 61614
(309) 692-5337
✔ PECOS✔ Accepts MedicareSame address
Angela Brown, APN
Nurse Practitioner
NPI 1447430616
427 W NORTHMOOR RD
Peoria, IL 61614
(309) 692-5337
✔ PECOS✔ Accepts MedicareSame address
Amanda Kilgore, MPT, DPT
Physical Therapist in Private Practice
NPI 1366461139
427 W NORTHMOOR RD
Peoria, IL 61614
(309) 692-5337
✔ Accepts MedicareSame address
Sara Martin, FNP-BC
Nurse Practitioner
NPI 1063117257
427 W NORTHMOOR RD
Peoria, IL 61614
(309) 692-5337
✔ PECOS✔ Accepts MedicareSame address
Jonathan Roberts, M.D.
Pediatric Medicine
NPI 1871757070
427 W NORTHMOOR RD
Peoria, IL 61614
(309) 692-5337
✔ PECOS✔ Accepts MedicareSame address
Michael Tarantino, MD
Hematology/Oncology
NPI 1396731063
427 W NORTHMOOR RD
Peoria, IL 61614
(309) 692-5337
✔ PECOS✔ Accepts MedicareSame address
Rachel Zwilling, PT, DPT
Physical Therapist in Private Practice
NPI 1760150007
427 W NORTHMOOR RD
Peoria, IL 61614
(309) 692-5337
Same address
Cynthia Read, APN
Nurse Practitioner
NPI 1154649598
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2600
✔ PECOS✔ Accepts Medicare4.1 mi
Kristene Flanagan, APRN
Nurse Practitioner
NPI 1629644836
1001 MAIN ST STE 500A
Peoria, IL 61606
(309) 672-4980
✔ PECOS✔ Accepts Medicare4.3 mi
Jessica Mistretta, DO
Pediatric Medicine
NPI 1033731500
400 N 9TH ST
Springfield, IL 62702
(217) 545-8000
✔ PECOS66 mi
Jackie Helms, NP
Nurse Practitioner
NPI 1225571219
5177 MCCARTY LN
Lafayette, IN 47905
(765) 838-6717
✔ PECOS✔ Accepts Medicare149 mi
Elizabeth Lepper, APN
Nurse Practitioner
NPI 1720450026
5419 COUNTY ROAD 427
Auburn, IN 46706
(260) 333-5105
✔ PECOS240 mi
Maria Espanol Mendez, M.D.
Hematology/Oncology
NPI 1417302332
4720 S 1-10 SERVICE RD SUITE 401
Metairie, LA 70001
(504) 988-5433
✔ PECOS✔ Accepts Medicare743 mi

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

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 D. Tarantino, M.D. S.C.'s NPI number?

The NPI number for Michael D. Tarantino, M.D. S.C. is 1740430784. It was assigned to this organization in the NPPES registry on September 26, 2008.

Where is Michael D. Tarantino, M.D. S.C. located?

Michael D. Tarantino, M.D. S.C. is located at 427 W Northmoor Rd, Peoria, IL 61614. The listed phone number is (309) 692-5337.

What is Michael D. Tarantino, M.D. S.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Michael D. Tarantino, M.D. S.C. enrolled in Medicare?

Yes. Michael D. Tarantino, M.D. S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael D. Tarantino, M.D. S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Michael D. Tarantino, M.D. S.C.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7), Hematology/Oncology (2) and Pediatric Medicine (2). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael D. Tarantino, M.D. S.C. was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.