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ARLETA DEDIANOUS APRN
NPI 1912787813
Pediatrics - Pediatric Allergy/Immunology in Peoria, IL

Active since September 29, 2023PECOS Enrolled
2900 N KNOXVILLE AVE, PEORIA, IL 61603(309) 308-2000 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Arleta Dedianous Aprn NPPES

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

ARLETA DEDIANOUS APRN (NPI 1912787813) is an individual pediatric allergy/immunology provider in Peoria, Illinois, licensed in Illinois (209.002443041.253592) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912787813
Entity TypeIndividualFemale
Primary Taxonomy2080P0201X
Provider Legal NameARLETA DEDIANOUSCredential: APRN
Location Address2900 N KNOXVILLE AVEPeoria, IL 61603-1748
Mailing Address2900 N Knoxville AvePeoria, IL 61603-1748 · (309) 308-2000
Phone(309) 308-2000
Sole ProprietorNo
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 17, 2023
✔ NPI 1912787813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License✔ Licensed in IL · 209.002443041.253592
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 209.002443041.253592 (IL)
2900 N KNOXVILLE AVE, Peoria, IL 61603
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arleta Dedianous Aprn 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TROY PEQUETTE
Pediatrics
2900 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 688-3616
JOHN GALBREATH
Pediatrics
2900 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 688-3616
BONITA G. DIETRICH
Nurse Practitioner
2900 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 688-3616
JASON E. BECKER
Pediatrics
2900 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 688-3616

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 Arleta Dedianous's NPI number?

The NPI number for Arleta Dedianous is 1912787813. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Arleta Dedianous located?

Arleta Dedianous practices at 2900 N Knoxville Ave, Peoria, IL 61603. The listed phone number is (309) 308-2000.

What is Arleta Dedianous's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Arleta Dedianous enrolled in Medicare?

Yes. Arleta Dedianous is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Arleta Dedianous was last updated on September 29, 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.