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PEKIN PROHEALTH INC
NPI 1932150299
Family Medicine in Pekin, IL

Active since May 12, 2006
600 S 13TH ST, SUITE M, PEKIN, IL 61554(309) 353-0825(309) 347-1246 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pekin Prohealth Inc NPPES

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

PEKIN PROHEALTH INC (NPI 1932150299) is a healthcare organization registered as a family medicine in Pekin, Illinois and active in the NPI registry since May 2006. The organization lists Janet Vandyke, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1932150299
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEKIN PROHEALTH INC
Location Address600 S 13TH ST, SUITE MPekin, IL 61554-4936
Mailing Address600 S 13th St, Suite MPekin, IL 61554-4936 · (309) 353-0825 · Fax (309) 347-1246
Phone(309) 353-0825
Fax(309) 347-1246
Organization SubpartNo
Authorized OfficialJanet VandykeBilling Supervisor · (309) 353-0799
Enumeration DateMay 12, 2006
Last NPPES UpdateMarch 18, 2013
✔ NPI 1932150299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedUrologyTaxonomy 208800000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
600 S 13TH ST, Pekin, IL 61554
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Other Identifiers 5

Other09015685IL · Blue Cross Blue Shield
OtherCE8213IL · Rail Road Medicare
Medicare PIN970990IL
OtherCN0361IL · Rail Road Medicare
Medicare PIN779491IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pekin Prohealth Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

146

Medicare enrollment records show 146 clinicians reassign Medicare billing to Pekin Prohealth Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 66 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Internal Medicine38
Nurse Practitioner25
Gastroenterology15
Hospitalist11
Family Practice10
General Surgery9
Cardiovascular Disease (Cardiology)7
Critical Care (Intensivists)4
13 other specialties27

Nearest to this location (20)

See all 146
Michael Honan, M.D.
Internal Medicine
NPI 1255424750
600 S 13TH ST SUITE E
Pekin, IL 61554
(309) 353-0473
✔ PECOS✔ Accepts MedicareSame address
Jana Huston, A.P.N.
Nurse Practitioner
NPI 1801345160
600 S 13TH ST SUITE E
Pekin, IL 61554
(309) 353-9709
✔ PECOS✔ Accepts MedicareSame address
Jonathan Rider, N.P.
Nurse Practitioner
NPI 1437526852
600 S 13TH ST SUITE E
Pekin, IL 61554
(309) 353-9709
✔ PECOS✔ Accepts MedicareSame address
Generoso Sison, M.D.
Family Practice
NPI 1609085273
600 S 13TH ST SUITE I
Pekin, IL 61554
(309) 346-1102
✔ PECOS✔ Accepts MedicareSame address
Farnaz Moazzam, M.D.
General Surgery
NPI 1487669735
600 S 13TH ST # I
Pekin, IL 61554
(309) 495-0200
✔ PECOS✔ Accepts MedicareSame address
Kurt Glesne, D.P.M.
Podiatry
NPI 1346508280
2351 BROADWAY ST
Pekin, IL 61554
(309) 353-4159
✔ PECOS✔ Accepts Medicare1.2 mi
Jamaluddin Amanullah, M.D.
Hospitalist
NPI 1184673147
2401 BROADWAY ST LOWER LEVEL
Pekin, IL 61554
(314) 971-5717
✔ PECOS✔ Accepts Medicare1.4 mi
Janelle Fenski, APN
Nurse Practitioner
NPI 1790154532
19 OLT AVE
Pekin, IL 61554
(309) 353-6301
✔ PECOS1.8 mi
Richard Harvey, MD
Internal Medicine
NPI 1740259068
DEPT OF INTERNAL MEDICINE 530 NE GLEN OAK
Peoria, IL 61637
(309) 655-3292
✔ PECOS✔ Accepts Medicare5.3 mi
William Hicok, M.D.
Family Practice
NPI 1457326944
1506 W GARFIELD AVE
Bartonville, IL 61607
(309) 697-2416
✔ PECOS✔ Accepts Medicare6.1 mi
Mika Johnson, APRN-FPA
Nurse Practitioner
NPI 1063846467
123 S SAMPSON ST
Tremont, IL 61568
(309) 929-2030
✔ PECOS✔ Accepts Medicare7.9 mi
Jami Wallace, APRN
Nurse Practitioner
NPI 1144606195
711 W JOHN H GWYNN JR AVE
Peoria, IL 61605
(309) 680-7600
✔ PECOS✔ Accepts Medicare8.9 mi
Robin Alley, MD
General Surgery
NPI 1659689461
1001 MAIN ST STE 300
Peoria, IL 61606
(309) 495-0200
✔ PECOS✔ Accepts Medicare9.5 mi
Shiraz Khaiser, MD
Gastroenterology
NPI 1568681740
1001 MAIN ST SUITE 500A
Peoria, IL 61606
(309) 672-4980
✔ PECOS✔ Accepts Medicare9.5 mi
Jianming Dong, MD
Neurology
NPI 1619981305
900 MAIN ST SUITE 250
Peoria, IL 61602
(309) 672-4522
✔ PECOS9.5 mi
Shriram Lokare, M.D.
Rheumatology
NPI 1497057905
900 MAIN ST STE 600
Peoria, IL 61602
(309) 671-8270
✔ PECOS✔ Accepts Medicare9.5 mi
Justin Fischer, MD
Colorectal Surgery (Proctology)
NPI 1730456914
1001 MAIN ST STE 300
Peoria, IL 61606
(309) 495-0201
✔ PECOS✔ Accepts Medicare9.5 mi
Alexander Adler, MD
Cardiovascular Disease (Cardiology)
NPI 1912929118
112 NE CRESCENT 2ND FLOOR
Peoria, IL 61603
(309) 672-4670
✔ PECOS✔ Accepts Medicare9.6 mi
Anil Reddivari, M.D.,
Hospitalist
NPI 1164687968
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5729
✔ PECOS✔ Accepts Medicare9.7 mi
Ibrahim Shamsi, DO
Pediatric Medicine
NPI 1710207105
530 NE GLEN OAK AVE
Peoria, IL 61637
(800) 599-7337
✔ PECOS9.9 mi
See all 146 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pekin Prohealth Inc's NPI number?

The NPI number for Pekin Prohealth Inc is 1932150299. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Pekin Prohealth Inc located?

Pekin Prohealth Inc is located at 600 S 13th St Suite M, Pekin, IL 61554. The listed phone number is (309) 353-0825.

What is Pekin Prohealth Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pekin Prohealth Inc enrolled in Medicare?

Yes. Pekin Prohealth Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pekin Prohealth Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 146 clinicians in 21 Medicare specialties reassign their Medicare billing to Pekin Prohealth Inc. A 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 the clinician's services. The largest specialties are Internal Medicine (38), Nurse Practitioner (25) and Gastroenterology (15). Of these, 5 practice at this address and 66 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pekin Prohealth Inc was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.