ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
NPI 1275575706
Internal Medicine - Gastroenterology in Peoria, IL
NPI Status: Active since June 11, 2006
Contact Information
1001 MAIN ST
SUITE 500A
PEORIA, IL
ZIP 61606
Phone: (309) 672-4980
Fax: (309) 671-2944
- Organization
- Internal Medicine
- Gastroenterology
- Accepts Insurance
- CLIA Number: 14D0708999
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
This page provides the complete NPI Profile along with additional information for Illinois Gastroenterology Institute, Pllc, an internist established in Peoria, Illinois operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1275575706 assigned on June 2006. The practitioner's primary taxonomy code is 207RG0100X with license number 042006270 (IL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Gastroenterology, Ltd. The authorized official of this NPI record is Mike Shadley (Administrator)
- NPI
- 1275575706
- Provider Legal Name
- ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
- Other Organization Name
- GASTROENTEROLOGY, LTD
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1001 MAIN ST SUITE 500A PEORIA, IL 61606
- Location Phone
- (309) 672-4980
- Location Fax
- (309) 671-2944
- Mailing Address
- PO BOX 365 MORTON, IL 61550
- Mailing Phone
- (309) 672-4980
- Mailing Fax
- (309) 671-2944
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2006
- Last Update Date
- 08-17-2020
- Code Navigator
An internist like Illinois Gastroenterology Institute, Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 042006270
- License State
- IL
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 07215152 | OTHER (01) | IL | BLUE CROSS |
| CE0700 | OTHER (01) | IL | RAILROAD MEDICARE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0708999
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- MICHAEL R. TREANOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Illinois Gastroenterology Institute, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 5 | 7 | 5 | 7 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 7 | 10 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 7 + 1 + 0 + 7 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1275575706 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821084567 | MICHAEL LEROY PEIL M.D. Individual | Internal Medicine (Pulmonary Disease) | 1001 MAIN ST SUITE 200 PEORIA, IL 61606 (309) 672-5682 |
| 1366438087 | PATRICK E WHITTEN M.D. Individual | Internal Medicine (Pulmonary Disease) | 1001 MAIN ST SUITE 200 PEORIA, IL 61606 (309) 672-5682 |
| 1649260076 | DR. W ANTHONY SAUDER M.D. Individual | Internal Medicine (Pulmonary Disease) | 1001 MAIN ST SUITE 200 PEORIA, IL 61606 (309) 672-5682 |
| 1831143585 | PEORIA PULMONARY ASSOCIATES, LTD. Organization | Internal Medicine (Pulmonary Disease) | 1001 MAIN ST SUITE 200 PEORIA, IL 61606 (309) 672-5682 |
| 1487692703 | KATHRYN O KRAMER M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1001 MAIN ST SUITE 500A PEORIA, IL 61606 (309) 672-4980 |
| 1780628388 | DR. DONALD E PENN JR. M.D. Individual | Internal Medicine (Gastroenterology) | 1001 MAIN ST SUITE 500A PEORIA, IL 61606 (309) 672-4980 |
| 1760426308 | DR. SCOTT Y WU M.D. Individual | Internal Medicine (Gastroenterology) | 1001 MAIN ST SUITE 500A PEORIA, IL 61606 (309) 672-4980 |
| 1437244555 | DR. JON CHRISTOPHER MICHEL MD Individual | Internal Medicine (Pulmonary Disease) | 1001 MAIN ST ILLINOIS LUNG AND CRITICAL CARE SUITE 200 PEORIA, IL 61606 (312) 504-5494 |
| 1265503429 | KANINIKA VERMA MD Individual | Internal Medicine (Pulmonary Disease) | 1001 MAIN ST SUITE 200 PEORIA, IL 61606 (309) 672-5682 |
| 1861563397 | PAMELA DOLOSZYCKI APN Individual | Nurse Practitioner (Pediatrics) | 1001 MAIN ST SUITE 200 PEORIA, IL 61606 (309) 672-5682 |
| 1790924306 | CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC Organization | Clinic/Center (Endoscopy) | 1001 MAIN ST STE 530 PEORIA, IL 61606 (309) 495-1144 |
| 1154555852 | BRYNN N CINNAMON APN/CNP Individual | Nurse Practitioner | 1001 MAIN ST SUITE 500A PEORIA, IL 61606 (309) 672-4980 |
| 1134352842 | ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF, LLC Organization | Internal Medicine (Pulmonary Disease) | 1001 MAIN ST STE 200 PEORIA, IL 61606 (309) 672-5682 |
| 1518260199 | JODI RENEE STONER RN, APN Individual | Clinical Nurse Specialist (Adult Health) | 1001 MAIN ST SUITE 200 PEORIA, IL 61606 (309) 672-5682 |
| 1548297252 | DR. CHURPHENA REID M.D. Individual | Urology | 1001 MAIN ST SUITE 201 PEORIA, IL 61606 (309) 495-0282 |
| 1255587812 | STEPHANIE CAIN APN, DNP Individual | Clinical Nurse Specialist | 1001 MAIN ST 3RD FLOOR PEORIA, IL 61606 (309) 495-0200 |
| 1124344023 | JAMIE DOUBET APN Individual | Clinical Nurse Specialist | 1001 MAIN ST 3RD FLOOR PEORIA, IL 61606 (309) 495-0200 |
| 1841492394 | DEEPAK TANEJA M.D. Individual | Hospitalist | 1001 MAIN ST SUITE 200 PEORIA, IL 61606 (309) 672-5682 |
| 1760689764 | DR. STEVEN STERGIOS TSORAIDES M.D. Individual | Surgery | 1001 MAIN ST SUITE 300 PEORIA, IL 61606 (309) 495-0200 |
| 1750460481 | CLARK ANDERSON PA-C Individual | Physician Assistant | 1001 MAIN ST SUITE 500A PEORIA, IL 61606 (309) 672-4980 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275575706, enumerated in the NPI registry as an "organization" on June 11, 2006
The provider is located at 1001 Main St Suite 500a Peoria, Il 61606 and the phone number is (309) 672-4980
This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Home State Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D0708999 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.