1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Pediatrics
  6. NPI Profile

DR. NICOLE MARIE RAU M.D.
NPI 1902249154
Pediatrics - Neonatal-Perinatal Medicine in Peoria, IL

Active since April 08, 2013PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-0610(309) 655-2974 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nicole Marie Rau M.d. NPPES

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

DR. NICOLE MARIE RAU M.D. (NPI 1902249154) is an individual neonatal-perinatal medicine provider in Peoria, Illinois, licensed in Illinois (036147994) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902249154
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. NICOLE MARIE RAUCredential: M.D.
Location Address530 NE GLEN OAK AVEPeoria, IL 61637
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637 · (309) 624-0610 · Fax (309) 655-2974
Phone(309) 624-0610
Fax(309) 655-2974
Sole ProprietorNo
Enumeration DateApril 8, 2013
Last NPPES UpdateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1902249154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036147994
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.
530 NE GLEN OAK AVE, Peoria, IL 61637
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Marie Rau M.d. 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 Nicole Rau 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
0.6 mi
Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1467425322 (309) 680-8649

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 Nicole Rau's NPI number?

The NPI number for Nicole Rau is 1902249154. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Nicole Rau located?

Nicole Rau practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-0610.

What is Nicole Rau's specialty?

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

Is Nicole Rau enrolled in Medicare?

Yes. Nicole Rau is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Rau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Rau reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (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 Nicole Rau'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 Nicole Rau was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.