DR. BRENDAN DEAN MINARDI (D.O.) – Internal Medicine Physician, NPI 1083097695

DR. BRENDAN DEAN MINARDI (D.O.) is a healthcare provider. based in Peoria, Illinois. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials D.O.. They hold a License No. 125067866 (IL). The NPI Number for DR. BRENDAN DEAN MINARDI (D.O.) is 1083097695

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENDAN DEAN MINARDI (D.O.)
NPI
1083097695
Phone
(309) 655-4161
Address
530 NE GLEN OAK AVE
Enumeration Date
30 June 2015
Last Update Date
30 June 2015

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
3096807600
Graduation Year
2015 (11 years ago)
PAC ID
6103132717
Group Practice PAC ID
7416850318
Professional Enrollment ID
I20191002001041
Address ID
IL616033005PE1800XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. BRENDAN DEAN MINARDI (D.O.)

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616370001

    Phone: (309) 655-4161

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191002001041IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes25194$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12468$0
99239Hospital discharge day management, more than 30 minutes7168$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5048$0
View full utilization report →

Insurance plans in this area (ZIP 61637)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416850318View full group profile
NameSpecialtyState
Family PracticeIL
P O D I A T R YIL
Nurse PractitionerNC
Internal Medicine, Pediatric MedicineIL
Internal Medicine, Pediatric MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

What federal number belongs to DR. BRENDAN DEAN MINARDI (D.O.)?
The federal identifier for DR. BRENDAN DEAN MINARDI (D.O.) is NPI 1083097695.
Is DR. BRENDAN DEAN MINARDI (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. BRENDAN DEAN MINARDI (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. BRENDAN DEAN MINARDI (D.O.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRENDAN DEAN MINARDI (D.O.)?
The page summarizes Peoria, Illinois for DR. BRENDAN DEAN MINARDI (D.O.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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