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
- Organization
- Clinic/Center
- Endoscopy
- Accepts Insurance
- 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
- Code Navigator
Location Map
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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Biopsy of large bowel using a flexible endoscope
Biopsy of lower large bowel using a flexible endoscope
Colorectal cancer screening; colonoscopy on individual at high risk
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Colorectal cancer screening; flexible sigmoidoscopy
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Diagnostic exam of large bowel using a flexible endoscope
Diagnostic exam of lower portion of large bowel using a flexible endoscope
Injection beneath lining of large bowel using a flexible endoscope
Insertion of guide wire with dilation of esophagus using a flexible endoscope
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
Removal of polyps or growths of lower large bowel using a flexible endoscope with mechanical snare
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 patientsThis 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 patientsA 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 patientsA 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 patientsColorectal 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 patientsColorectal 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 patientsFlexible 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsCLIA 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.
Reviews for CENTRAL ILLINOIS ENDOSCOPY CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 9 | 0 | 9 | 2 | 4 | 3 | 0 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 18 | 0 | 18 | 2 | 8 | 3 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 8 + 0 + 1 + 8 + 2 + 8 + 3 + 0 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1790924306 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MICHAEL LEROY PEIL M.D.
Internal Medicine
(Pulmonary Disease)
1001 MAIN ST
SUITE 200
PEORIA, IL
ZIP 61606
PATRICK E WHITTEN M.D.
Internal Medicine
(Pulmonary Disease)
1001 MAIN ST
SUITE 200
PEORIA, IL
ZIP 61606
DR. W ANTHONY SAUDER M.D.
Internal Medicine
(Pulmonary Disease)
1001 MAIN ST
SUITE 200
PEORIA, IL
ZIP 61606
PEORIA PULMONARY ASSOCIATES, LTD.
Internal Medicine
(Pulmonary Disease)
1001 MAIN ST
SUITE 200
PEORIA, IL
ZIP 61606
KATHRYN O KRAMER M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
1001 MAIN ST
SUITE 500A
PEORIA, IL
ZIP 61606
DR. DONALD E PENN JR. M.D.
Internal Medicine
(Gastroenterology)
1001 MAIN ST
SUITE 500A
PEORIA, IL
ZIP 61606
DR. SCOTT Y WU M.D.
Internal Medicine
(Gastroenterology)
1001 MAIN ST
SUITE 500A
PEORIA, IL
ZIP 61606
DR. JON CHRISTOPHER MICHEL MD
Internal Medicine
(Pulmonary Disease)
1001 MAIN ST
ILLINOIS LUNG AND CRITICAL CARE SUITE 200
PEORIA, IL
ZIP 61606
KANINIKA VERMA MD
Internal Medicine
(Pulmonary Disease)
1001 MAIN ST
SUITE 200
PEORIA, IL
ZIP 61606
PAMELA DOLOSZYCKI APN
Nurse Practitioner
(Pediatrics)
1001 MAIN ST
SUITE 200
PEORIA, IL
ZIP 61606
BRYNN N CINNAMON APN/CNP
Nurse Practitioner
1001 MAIN ST
SUITE 500A
PEORIA, IL
ZIP 61606
ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF, LLC
Internal Medicine
(Pulmonary Disease)
1001 MAIN ST
STE 200
PEORIA, IL
ZIP 61606
JODI RENEE STONER RN, APN
Clinical Nurse Specialist
(Adult Health)
1001 MAIN ST
SUITE 200
PEORIA, IL
ZIP 61606
DR. CHURPHENA REID M.D.
Urology
1001 MAIN ST
SUITE 201
PEORIA, IL
ZIP 61606
STEPHANIE CAIN APN, DNP
Clinical Nurse Specialist
1001 MAIN ST
3RD FLOOR
PEORIA, IL
ZIP 61606
JAMIE DOUBET APN
Clinical Nurse Specialist
1001 MAIN ST
3RD FLOOR
PEORIA, IL
ZIP 61606
DEEPAK TANEJA M.D.
Hospitalist
1001 MAIN ST
SUITE 200
PEORIA, IL
ZIP 61606
DR. STEVEN STERGIOS TSORAIDES M.D.
Surgery
1001 MAIN ST
SUITE 300
PEORIA, IL
ZIP 61606
CLARK ANDERSON PA-C
Physician Assistant
1001 MAIN ST
SUITE 500A
PEORIA, IL
ZIP 61606
RACHEL DELONG APN
Nurse Practitioner
1001 MAIN ST
SUITE 300
PEORIA, IL
ZIP 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.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to verify.