Individual provider Active NPI

Kumarpal Shrishrimal, MD

  • Nephrology Physician
  • Peoria, IL
National Provider Identifier
1023217551
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036116634 Issued in IL
Practice address
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone
(309) 676-8123
Fax
(309) 676-8455
NPI assigned
Jul 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036116634 IL Primary

Addresses

Primary practice location

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112

Mailing address

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123

Other practice location 1

180 S Main Ste, Ste 2i
Canton, IL 61520
Phone (309) 676-8123

Other practice location 2

5401 N Knoxville Suite 300
Peoria, IL 61614
Phone (309) 676-8123

Other practice location 3

1302 Franklin Ave Ste 3000
Normal, IL 61761-6522
Phone (309) 676-8123

Other practice location 4

834 N Seminary St Ste 501
Galesburg, IL 61401
Phone (309) 676-8123

Other practice location 5

525 E Grant St Fl 2
Macomb, IL 61455
Phone (309) 676-8123

Other identifiers 1

IdentifierTypeStateIssuer
036-116634MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000832 IL Practitioner - NephrologyPractitioner - Internal Medicine 7416049853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1302 Franklin Ave
Suite 3000
Normal, IL 61761-6522
Phone (309) 663-4766

420 NE Glen Oak Ave
Suite 401
Peoria, IL 61603-3112
Phone (217) 238-6247

Hospital & facility affiliations

  • FMC - East Peoria Dialysis Dialysis facility, East Peoria, IL, CCN 142562
  • FMC - Spring Valley Dialysis facility, Spring Valley, IL, CCN 142564
  • FMC - Macomb Dialysis facility, Macomb, IL, CCN 142591
  • FKC - East Peoria Home Dialysis facility, East Peoria, IL, CCN 142859
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209
  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064
  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013
  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036116634ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renalcare Associates, S.C. Nephrology CurrentSince Jul 1, 2012 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 25, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 9, 2021 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 25, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Renal Intervention Center, PLLC Nephrology Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

180 S Main St
Ste 2I
Canton, IL 61520

834 N Seminary St
Ste 501
Galesburg, IL 61401
Phone (309) 343-3303

1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141

505 E Grant St
Ste 201
Macomb, IL 61455
Phone (309) 833-3068

527 E Grant St
Macomb, IL 61455
Phone (309) 344-7546

525 E Grant St
Fl 2
Macomb, IL 61455

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1302 Franklin Ave
Ste 3000
Normal, IL 61761
Phone (309) 454-3456

1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

5401 N Knoxville Ave
Ste 300
Peoria, IL 61614
Phone (309) 671-2197

Interoperability endpoints

  • Direct secure messaging: kshrishrimal7772@direct.acumenmd.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1023217551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033112",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033112",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 S Main Ste, Ste 2i",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "IL",
            "postal_code": "61520",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 N Knoxville Suite 300",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "61614",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 Franklin Ave Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Normal",
            "state": "IL",
            "postal_code": "617616522",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 N Seminary St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "61401",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 E Grant St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "IL",
            "postal_code": "61455",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRISHRIMAL",
        "first_name": "KUMARPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036116634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-116634",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.