CENTRAL ILLINOIS ENDOSCOPY CENTER
NPI 1790924306
Clinic/Center - Endoscopy in Peoria, IL

NPI Status: Active since February 05, 2009

Contact Information

1001 MAIN ST
STE 530
PEORIA, IL
ZIP 61606
Phone: (309) 495-1144

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  • Organization
  • Clinic/Center
  • Endoscopy
  • CLIA Number: 14D1097920
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-06-2027

About CENTRAL ILLINOIS ENDOSCOPY CENTER

This page provides the complete NPI Profile along with additional information for Central Illinois Endoscopy Center, a provider established in Peoria, Illinois operating as a Clinic/center, focusing in endoscopy . The healthcare provider is registered in the NPI registry with number 1790924306 assigned on February 2009. The practitioner's primary taxonomy code is 261QE0800X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Central Illinois Endoscopy Center. The authorized official of this NPI record is Mrs. Catherine Emanuel (Secretary/treasurer)

NPI
1790924306
Provider Legal Name
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC
Other Organization Name
CENTRAL ILLINOIS ENDOSCOPY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1001 MAIN ST STE 530 PEORIA, IL 61606
Location Phone
(309) 495-1144
Mailing Address
1001 MAIN ST STE 530 PEORIA, IL 61606
Mailing Phone
(309) 495-1144
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2009
Last Update Date
02-05-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Endoscopy

Taxonomy Code
261QE0800X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CATHERINE EMANUEL

Authorized Official Title
SECRETARY/TREASURER
Authorized Official Phone
(309) 672-4846

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 17 times for 13 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 507 times for 494 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 912 times for 911 patients

Biopsy of lower large bowel using a flexible endoscope

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

This service was performed 37 times for 37 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 241 times for 241 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 123 times for 123 patients

Colorectal cancer screening; flexible sigmoidoscopy

Flexible sigmoidoscopy is a procedure used to check the lower part of your large intestine. It involves a thin, flexible tube with a camera on the end. This allows your doctor to view the inside of your intestine, helping to detect any abnormal growths or changes early.

This service was performed 19 times for 19 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 101 times for 99 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 80 times for 80 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

This service was performed 23 times for 23 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 79 times for 78 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

This service was performed 189 times for 183 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

This service was performed 15 times for 15 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 967 times for 954 patients

Removal of polyps or growths of lower large bowel using a flexible endoscope with mechanical snare

This procedure involves removing abnormal growths called polyps from the lower part of the large bowel. A flexible tube with a camera, known as an endoscope, is used to view the inside of the bowel. A special tool called a mechanical snare is used to cut and remove the polyps.

This service was performed 15 times for 15 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D1097920
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 07, 2025
Certificate Expiration Date
April 06, 2027
Laboratory Director
SCOTT WU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central Illinois Endoscopy Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790924306, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 8 + 2 + 8 + 3 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1790924306.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Pathology (Anatomic Pathology & Clinical Pathology)
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Internal Medicine (Gastroenterology)
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Internal Medicine (Gastroenterology)
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, ILLINOIS LUNG AND CRITICAL CARE SUITE 200
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Nurse Practitioner (Pediatrics)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Nurse Practitioner
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, STE 200
PEORIA, IL 61606
Urology
1001 MAIN ST, SUITE 201
PEORIA, IL 61606
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Hospitalist
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Physician Assistant
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Nurse Practitioner
1001 MAIN ST, SUITE 300
PEORIA, IL 61606
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1001 MAIN ST, SUITE 300
PEORIA, IL 61606
Internal Medicine (Gastroenterology)
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790924306, enumerated as an "organization" on February 05, 2009.

The provider is located at 1001 MAIN ST STE 530 PEORIA, IL 61606 and the phone number is (309) 495-1144.

Clinic/Center with taxonomy code 261QE0800X and a focus in Endoscopy.