METHODIST MEDICAL GROUP – NPI #1184670663
Family Medicine

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.

METHODIST MEDICAL GROUP is a provider located in PEORIA, IL. NPPES has assigned the NPI number 1184670663 to METHODIST MEDICAL GROUP on May 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “METHODIST MEDICAL GROUP” is a dba name, the actual legal business name for this organization is METHODIST MEDICAL CENTER OF ILLINOIS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on Feb 14, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for METHODIST MEDICAL GROUP below.

NPI Profile for
METHODIST MEDICAL CENTER OF ILLINOIS

NPI Number
1184670663
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
METHODIST MEDICAL CENTER OF ILLINOIS
Doing Business As (dba): METHODIST MEDICAL GROUP
Primary location
120 NE GLEN OAK AVE
SUITE 101
PEORIA, IL 61603
Phone: (309) 671-8230 Fax: (309) 671-5118
Mailing address
5100 RELIABLE PKWY
CHICAGO, IL 60686-0051
Phone: Fax:
Organization Subpart
No
Authorized Official
STEPHEN CIRONE
REGIONAL MGR-REIMB/REV RECOGNITION
Phone: (309) 672-4813
Updated
Certification Date
Feb 14, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for METHODIST MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS PPOIL7215059
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.