TIMOTHY JAMES SAMOLITIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1588651566

TIMOTHY JAMES SAMOLITIS (CRNA) is a healthcare provider. based in Peoria, Illinois. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 209005907 (IL). The NPI Number for TIMOTHY JAMES SAMOLITIS (CRNA) is 1588651566

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY JAMES SAMOLITIS (CRNA)
NPI
1588651566
Phone
(309) 692-5394
Address
8600 N. STATE ROUTE 91
Enumeration Date
4 October 2005
Last Update Date
13 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403808090
Graduation Year
1994 (32 years ago)
PAC ID
1759382583
Group Practice PAC ID
3678604493
Professional Enrollment ID
I20070123000080
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for TIMOTHY JAMES SAMOLITIS (CRNA)

  • Saint Francis Outpatient Center, 8600, North State Route 91, Peoria, Peoria County, Illinois, 61614, United States

    SUITE 250

    PEORIA, IL 61615

    Phone: (309) 692-5394

    Fax: (309) 692-2538

    Type: Mailing

  • HSHS Medical Group Anesthesiology & Perioperative

    9515 Holy Cross Lane

    Breese, IL 62230

    Phone: (618) 526-5829

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61615)

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Provider's Procedures

TIMOTHY JAMES SAMOLITIS (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIL00142Anesthesia for lens surgery4037
CERTIFIED REGISTERED NURSE ANESTHETIL00790Anesthesia for procedure in upper abdomen including use of an endoscope1818

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: 3678604493View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH

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Frequently asked questions

What is the registry number for TIMOTHY JAMES SAMOLITIS (CRNA)?
The registry entry for TIMOTHY JAMES SAMOLITIS (CRNA) shows NPI 1588651566.
Is TIMOTHY JAMES SAMOLITIS (CRNA)'s NPI status active today?
Active status means TIMOTHY JAMES SAMOLITIS (CRNA)'s NPI record is not deactivated in the public file.
Which specialty label fits TIMOTHY JAMES SAMOLITIS (CRNA)?
NPPES ties TIMOTHY JAMES SAMOLITIS (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit TIMOTHY JAMES SAMOLITIS (CRNA) in Peoria, Illinois?
For routing, start with Peoria, Illinois for TIMOTHY JAMES SAMOLITIS (CRNA), then verify phone and hours locally.
Why is information missing for TIMOTHY JAMES SAMOLITIS (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.