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CHANNING PETRAK MD
NPI 1952370538
Pediatrics in Peoria, IL

Active since March 16, 2006PECOS Enrolled
DEPT OF PEDIATRICS, 320 E ARMSTRONG, PEORIA, IL 61603(309) 624-9587 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Channing Petrak Md NPPES

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

CHANNING PETRAK MD (NPI 1952370538) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (036108511) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952370538
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCHANNING PETRAKCredential: MD
Location AddressDEPT OF PEDIATRICS, 320 E ARMSTRONGPeoria, IL 61603
Mailing Address1 Illini DrPeoria, IL 61605-2576 · (309) 671-8503
Phone(309) 624-9587
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateJuly 22, 2013
✔ NPI 1952370538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036108511
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
DEPT OF PEDIATRICS, Peoria, IL 61603
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Other Identifiers 5

Other639810IL · Medicare Ptan
Medicare UPINH93445IL
Other07215036IL · Bcbs
OtherIL01CNIL · John Deere
Medicaid036108511IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Channing Petrak 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

HEATHER MCLAUCHLAN MD
Pediatrics
DEPT OF PEDIATRICS, 320 E ARMSTRONG
PEORIA, IL 61603
Peoria County (309) 624-9587
LOURDES DELGADO-SERRANO MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
DEPT OF PEDIATRICS, 320 E ARMSTRONG
PEORIA, IL 61603
Peoria County (309) 624-9587
UMESH CHATRATH MD
Pediatrics
DEPT OF PEDIATRICS, 320 E ARMSTRONG
PEORIA, IL 61603
Peoria County (309) 624-9587

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 Channing Petrak's NPI number?

The NPI number for Channing Petrak is 1952370538. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Channing Petrak located?

Channing Petrak practices at Dept Of Pediatrics 320 E Armstrong, Peoria, IL 61603. The listed phone number is (309) 624-9587.

What is Channing Petrak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Channing Petrak enrolled in Medicare?

Yes. Channing Petrak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Channing Petrak was last updated on July 22, 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.