METHODIST MEDICAL CENTER OF ILLINOIS – General Acute Care Hospital, NPI 1164474755
General Acute Care Hospital
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for METHODIST MEDICAL CENTER OF ILLINOIS
UnityPoint Health - Methodist, 221, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61636, United States
GOMP 100
PEORIA, IL 616360001
Phone:
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: 2026-02-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (38 days ago).
Enrollment records
17
Earliest due date
2026-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040315000196 | O | Clinic/Group Practice | IL | TBD |
| O20050112000452 | O | Hospital | IL | TBD |
| O20210323001212 | O | Clinic/Group Practice | NC | 2026-04-30 |
| O20210804003224 | O | Clinic/Group Practice | TX | 2026-08-31 |
| O20220518001876 | O | Clinic/Group Practice | FL | TBD |
| O20220524003288 | O | Clinic/Group Practice | LA | TBD |
| O20220525002964 | O | Clinic/Group Practice | NJ | TBD |
| O20220830000403 | O | Clinic/Group Practice | IA | TBD |
| O20221019000481 | O | Clinic/Group Practice | NY | TBD |
| O20221110002227 | O | Clinic/Group Practice | TN | TBD |
| O20230109000143 | O | Clinic/Group Practice | IN | TBD |
| O20251202003464 | O | Clinic/Group Practice | AZ | TBD |
| O20251215001462 | O | Clinic/Group Practice | AL | TBD |
| O20251216003675 | O | Clinic/Group Practice | NM | TBD |
| O20251220000626 | O | Clinic/Group Practice | GA | TBD |
| O20251223002477 | O | Clinic/Group Practice | OK | TBD |
| O20251230001855 | O | Clinic/Group Practice | WA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61636)
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