ROBERT T SPARROW (MD) – Nephrology Physician, NPI 1134259781

ROBERT T SPARROW (MD) is a healthcare provider. based in Peoria, Illinois. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 036062055 (IL). The NPI Number for ROBERT T SPARROW (MD) is 1134259781

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT T SPARROW (MD)
NPI
1134259781
Phone
(309) 676-8123
Address
420 NE GLEN OAK AVE STE 401
Enumeration Date
6 March 2007
Last Update Date
16 January 2025

Doctor Profile

Medical School Name
ILLINOIS MEDICAL COLLEGE
Secondary Phone
3096768123
Graduation Year
1979 (47 years ago)
PAC ID
0143121491
Group Practice PAC ID
7012818347
Professional Enrollment ID
I20101209001239
Address ID
IL616033112PE420XXAVEX506
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

629 NEPHROLOGY in IL

Provider Addresses for ROBERT T SPARROW (MD)

  • 420 NE GLEN OAK AVE STE 401

    PEORIA, IL 616033112

    Phone: (309) 676-8123

    Fax: (309) 676-8455

    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: 2010-12-09

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
I20101209001239INephrologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes385249$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes25766$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5857$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
93784Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report1616$0
View full utilization report →

Insurance plans in this area (ZIP 61603)

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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: 7012818347View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nephrology, Internal Medicine, Pediatric MedicineIL
N E P H R O L O G YIL
N E P H R O L O G YIL
Nephrology, Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIA
-IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What number should I use to identify ROBERT T SPARROW (MD) for billing?
Administrative and clinical systems typically use NPI 1134259781 for ROBERT T SPARROW (MD).
Should I treat ROBERT T SPARROW (MD) as an active provider?
Patients and plans typically see ROBERT T SPARROW (MD) as active in the national extract.
What type of care does ROBERT T SPARROW (MD) provide?
ROBERT T SPARROW (MD)'s profile centers on Nephrology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ROBERT T SPARROW (MD)?
ROBERT T SPARROW (MD) shows a connection to Peoria, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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