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MR. KAMLESH SAMSON MACWAN MD
NPI 1851306575
Pediatrics - Neonatal-Perinatal Medicine in Peoria, IL

Active since July 30, 2006PECOS Enrolled
530 NE GLEN OAK AVE, ST FRANCIS MEDICAL CENTER, PEORIA, IL 61637(309) 655-2485(309) 655-2874 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Kamlesh Samson Macwan Md NPPES

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

MR. KAMLESH SAMSON MACWAN MD (NPI 1851306575) is an individual neonatal-perinatal medicine provider in Peoria, Illinois, licensed in Illinois (3248) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851306575
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMR. KAMLESH SAMSON MACWANCredential: MD
Location Address530 NE GLEN OAK AVE, ST FRANCIS MEDICAL CENTERPeoria, IL 61637
Mailing AddressPo Box 1186Pekin, IL 61555-1186 · (309) 353-4483 · Fax (309) 353-7713
Phone(309) 655-2485
Fax(309) 655-2874
Sole ProprietorNo
Enumeration DateJuly 30, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1851306575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 3248
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 53948 (IL)

Other Identifiers 4

Other004082IL · Health Alliance
OtherIL0105IL · John Deere
Medicaid03608163702IL
Other7215111IL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kamlesh Samson Macwan 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 Kamlesh Macwan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of The University Of Illinois
Family Medicine
1601 PARKVIEW AVE
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1003218348 (815) 395-5637

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.

DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109
ABIGAIL V. WELU DO
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6710
DR. JAMES DANIEL DEWAR D.O.
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-7257

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 Kamlesh Macwan's NPI number?

The NPI number for Kamlesh Macwan is 1851306575. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Kamlesh Macwan located?

Kamlesh Macwan practices at 530 NE Glen Oak Ave St Francis Medical Center, Peoria, IL 61637. The listed phone number is (309) 655-2485.

What is Kamlesh Macwan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kamlesh Macwan enrolled in Medicare?

Yes. Kamlesh Macwan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kamlesh Macwan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamlesh Macwan reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (Rockford, 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 Kamlesh Macwan'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 Kamlesh Macwan was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.