DR. BENALI GIRISH DESHPANDE M.D.
NPI 1841489929
Pediatrics in Peoria, IL
NPI Status: Active since October 15, 2007
Contact Information
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL
ZIP 61603
Phone: (888) 627-5673
Fax: (309) 683-5969
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About BENALI DESHPANDE
This page provides the complete NPI Profile along with additional information for Benali Deshpande, a pediatrician established in Peoria, Illinois with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1841489929 assigned on October 2007. The practitioner's primary taxonomy code is 208000000X with license number 036-112326 (IL). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1841489929
- Provider Name
- DR. BENALI GIRISH DESHPANDE M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 420 NE GLEN OAK AVE SUITE 201 PEORIA, IL 61603
- Location Phone
- (888) 627-5673
- Location Fax
- (309) 683-5969
- Mailing Address
- 420 NE GLEN OAK AVE SUITE 201 PEORIA, IL 61603
- Mailing Phone
- (888) 627-5673
- Mailing Fax
- (309) 683-5969
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-15-2007
- Last Update Date
- 05-12-2008
- Code Navigator
A pediatrician like Benali Deshpande is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-112326
- License State
- IL
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 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
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| R00794 | MEDICARE PIN (08) | IL | |
| 809840 | OTHER (01) | IL | MEDICARE GROUP # |
Medicare Participation & PECOS Enrollment Status
Benali Deshpande is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 61603 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. BENALI GIRISH DESHPANDE M.D.
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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 | 8 | 4 | 1 | 4 | 8 | 9 | 9 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 8 | 8 | 18 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 8 + 8 + 1 + 8 + 9 + 4 + 24 = 81 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 81 = 9 | 9 | ||||||||
The NPI number 1841489929 is valid because the calculated check digit 9 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.
DR. RICHARD PEARL M.D.
Surgery
(Pediatric Surgery)
420 NE GLEN OAK AVE
STE 201
PEORIA, IL
ZIP 61603
TRINA CROLAND
Pediatrics
420 NE GLEN OAK AVE
PEORIA, IL
ZIP 61603
DR. WILLIAM H ALBERS MD
Pediatrics
(Pediatric Cardiology)
420 NE GLEN OAK AVE
SUITE 304
PEORIA, IL
ZIP 61603
ANGELA WALKER
Nurse Practitioner
420 NE GLEN OAK AVE
STE 301
PEORIA, IL
ZIP 61603
LIZABETH WALLACE
Nurse Practitioner
420 NE GLEN OAK AVE
PEORIA, IL
ZIP 61603
DR. JAMIE M CHU PHARM.D.
Pharmacist
420 NE GLEN OAK AVE
PEORIA, IL
ZIP 61603
KIRSTEN REECY
Occupational Therapist
(Hand)
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL
ZIP 61603
DR. MATTHEW T BRAMLET MD
Pediatrics
(Pediatric Cardiology)
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL
ZIP 61603
KIMBERLY L FRENCH APN
Nurse Practitioner
(Acute Care)
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL
ZIP 61603
DR. JITENDRA J SHAH MD
Pediatrics
(Pediatric Cardiology)
420 NE GLEN OAK AVE
SUITE 304
PEORIA, IL
ZIP 61603
AGNIESZKA KULIKOWSKA MD
Pediatrics
(Pediatric Critical Care Medicine)
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL
ZIP 61603
CHARLES APRAHAMIAN MD
Surgery
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL
ZIP 61603
DR. LORI ELIZABETH SIMENAUER M.D.
Pediatrics
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL
ZIP 61603
CHILDREN'S HOSPITAL OF ILLINOIS MEDICAL GROUP
Pediatrics
(Pediatric Cardiology)
420 NE GLEN OAK AVE
STE 301
PEORIA, IL
ZIP 61603
DIANA WARNECKE APN, CPNP
Nurse Practitioner
(Pediatrics)
420 NE GLEN OAK AVE
STE 401
PEORIA, IL
ZIP 61603
DR. RIFFAT IFTEKHAR M.D.
Pediatrics
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL
ZIP 61603
GREGORY PUSZKIEWICZ R.PH.
Pharmacist
420 NE GLEN OAK AVE
PEORIA, IL
ZIP 61603
LINDA SCHMIDGALL
Nurse Practitioner
420 NE GLEN OAK AVE
SUITE 200
PEORIA, IL
ZIP 61603
OSF MULTISPECIALTY GROUP PEORIA LLC
Pediatrics
(Pediatric Cardiology)
420 NE GLEN OAK AVE
STE 304
PEORIA, IL
ZIP 61603
KRISTI N RYAN PNP-AC
Nurse Practitioner
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL
ZIP 61603
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841489929, enumerated as an "individual" on October 15, 2007.
The provider is located at 420 NE GLEN OAK AVE SUITE 201 PEORIA, IL 61603 and the phone number is (888) 627-5673.
Pediatrics with taxonomy code 208000000X.
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.
