MR. KAMLESH SAMSON MACWAN MD
NPI 1851306575
Pediatrics - Neonatal-Perinatal Medicine in Peoria, IL

NPI Status: Active since July 30, 2006

Contact Information

530 NE GLEN OAK AVE
ST FRANCIS MEDICAL CENTER
PEORIA, IL
ZIP 61637
Phone: (309) 655-2485
Fax: (309) 655-2874

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  • Individual
  • Male
  • Pediatrics
  • Neonatal-Perinatal Medicine
  • Accepts Insurance
  • PECOS Enrolled

About KAMLESH MACWAN

This page provides the complete NPI Profile along with additional information for Kamlesh Macwan, a pediatrician established in Peoria, Illinois with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1851306575 assigned on July 2006. The practitioner's primary taxonomy code is 2080N0001X with license number 3248 (IL). The provider is registered as an individual and his NPI record was last updated September 2025.

NPI
1851306575
Provider Name
MR. KAMLESH SAMSON MACWAN MD
Gender
Male
Entity Type
Individual
Location Address
530 NE GLEN OAK AVE ST FRANCIS MEDICAL CENTER PEORIA, IL 61637
Location Phone
(309) 655-2485
Location Fax
(309) 655-2874
Mailing Address
PO BOX 1186 PEKIN, IL 61555
Mailing Phone
(309) 353-4483
Mailing Fax
(309) 655-2874
Is Sole Proprietor?
No
Enumeration Date
07-30-2006
Last Update Date
09-11-2025
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A pediatrician like Kamlesh Macwan is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
Allopathic & Osteopathic Physicians
License No.
3248
License State
IL
Taxonomy Description
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

53948 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO

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
004082OTHER (01)ILHEALTH ALLIANCE
IL0105OTHER (01)ILJOHN DEERE
03608163702MEDICAID (05)IL 
7215111OTHER (01)ILBLUE CROSS BLUE SHIELD

Medicare Participation & PECOS Enrollment Status

Kamlesh Macwan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MR. KAMLESH SAMSON MACWAN MD

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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.
1851306575
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281016012514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 6 + 0 + 1 + 2 + 5 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1851306575 is valid because the calculated check digit 5 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
1801881446MISS CARA L PHILLIPS PHARMD
Individual
Pharmacist530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2285
1902883648 SAMIR SAXENA MD
Individual
Internal Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 624-8818
1114970761CENTRAL ILLINOIS PATHOLOGY, SC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 624-9011
1548201189DR. RAHUL K. CHAWLA MD
Individual
Pediatrics (Pediatric Critical Care Medicine)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2250
1366485906DR. LAYNE T. LOVELL M.D.
Individual
Family Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2000
1710922182 MICHELLE L BERTKE APN,CNP
Individual
Nurse Practitioner (Family)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2312
1669418380 PAMELA PECENKA ANP
Individual
Nurse Practitioner530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2323
1477599272 MARC D SQUILLANTE D.O.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1750317327 JOSEPH A SOTTILE M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1104852631 JOANNA C GARDNER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1356377626 GREG J TUDOR M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1477580116 LISA T BARKER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1942238613 RICHARD F MILLER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1619906146 PAUL M MATTHEWS M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1255360715 JOHN W HAFNER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1508894098 TIMOTHY J SCHAEFER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1639108020 TROY S CUTLER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1295763787 MICHAEL A CRUZ M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1982633202 LUCILLE A FENDRICK M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1962431585 MARI B BAKER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851306575, enumerated in the NPI registry as an "individual" on July 30, 2006

The provider is located at 530 Ne Glen Oak Ave St Francis Medical Center Peoria, Il 61637 and the phone number is (309) 655-2485

The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on July 30, 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.