DR. ALI EL GHAZZAOUI MD
NPI 1881383404
Urology - Pediatric Urology in Peoria, IL

Active since May 01, 2023PECOS Enrolled
420 NE GLEN OAK AVE, PEORIA, IL 61603(647) 404-7544 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ali El Ghazzaoui Md NPPES

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

DR. ALI EL GHAZZAOUI MD (NPI 1881383404) is an individual pediatric urology provider in Peoria, Illinois, licensed in Illinois (036163784) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881383404
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDR. ALI EL GHAZZAOUICredential: MD
Location Address420 NE GLEN OAK AVEPeoria, IL 61603-3106
Mailing Address9581 Westwood DrWestminster, CA 92683-6949 · (647) 404-7544
Sole ProprietorNo
Enumeration DateMay 1, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1881383404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in IL · 036163784
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
420 NE GLEN OAK AVE, Peoria, IL 61603

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ali El Ghazzaoui 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 Ali El Ghazzaoui reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group

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.

Nurse Practitioner
420 NE GLEN OAK AVE, SUITE 200
PEORIA, IL 61603
Nurse Practitioner
420 NE GLEN OAK AVE
PEORIA, IL 61603
Pediatrics (Pediatric Cardiology)
420 NE GLEN OAK AVE, SUITE 304
PEORIA, IL 61603
Surgery (Pediatric Surgery)
420 NE GLEN OAK AVE, SUITE 201
PEORIA, IL 61603
Clinical Nurse Specialist (Pediatrics)
420 NE GLEN OAK AVE, SUITE 401
PEORIA, IL 61603
Pediatrics (Pediatric Cardiology)
420 NE GLEN OAK AVE, SUITE 301
PEORIA, IL 61603
Pharmacist
420 NE GLEN OAK AVE
PEORIA, IL 61603
Pediatrics (Pediatric Cardiology)
420 NE GLEN OAK AVE, SUITE 304
PEORIA, IL 61603

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 Ali El Ghazzaoui's NPI number?

The NPI number for Ali El Ghazzaoui is 1881383404. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Ali El Ghazzaoui located?

Ali El Ghazzaoui practices at 420 NE Glen Oak Ave, Peoria, IL 61603. The listed phone number is (647) 404-7544.

What is Ali El Ghazzaoui's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Ali El Ghazzaoui enrolled in Medicare?

Yes. Ali El Ghazzaoui is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ali El Ghazzaoui's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali El Ghazzaoui reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, 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 Ali El Ghazzaoui'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 Ali El Ghazzaoui was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.