GEORGE GENTRY MD – NPI #1225016975
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

GEORGE GENTRY is a radiologist located in PEORIA, IL. NPPES has assigned the NPI number 1225016975 to GEORGE GENTRY on January 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Jul 02, 2024. 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 GEORGE GENTRY below.

NPI Profile for
GEORGE GENTRY

NPI Number
1225016975
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GEORGE GENTRY
Credentials
MD
Primary location
5409 N KNOXVILLE AVE
PEORIA, IL 61615
Phone: (309) 682-7750 Fax: (309) 682-7786
1 Other location(s):
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
Mailing address
PO BOX 3853
PEORIA, IL 61612-3853
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 02, 2024

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 GEORGE GENTRY

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.

See identifiers
DescriptionIssuerStateIdentifier
otherACRIL1005156
otherBLUE CROSS BLUE SHIELDIL0007222342
otherHEALTH ALLIANCEIL054573
otherHEALTHLINKIL211015
otherJOHN DEEREILIL0100
otherRAILROAD MEDICAREIL300027879
otherTRICARE CHAMPUSIL370947902
medicaidIL036080941-1
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.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 IL 036-080941

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
GEORGE GENTRY is affiliated with the following medical group(s):
  • HOSPITAL
    • OSF SAINT LUKES MEDICAL CENTER
      1051 WEST SOUTH STREET
      KEWANEE, IL 61443
    • OSF SAINT PAUL MEDICAL CENTER
      1401 E 12TH STREET
      MENDOTA, IL 61342
    • OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP
      3401 LUDINGTON ST
      ESCANABA, MI 49829
    • SAINT FRANCIS MEDICAL CENTER
      530 NE GLEN OAK AVE
      PEORIA, IL 61637
    • SAINT JAMES HOSPITAL
      2500 WEST REYNOLDS STREET
      PONTIAC, IL 61764

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.