Individual provider Active NPI

Delinda Demita Wills, MD

  • Surgical Critical Care Physician
  • Peoria, IL
National Provider Identifier
1063531804
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
036163805 Issued in IL
Practice address
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone
(309) 672-5522
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 036163805 IL Primary
Surgical Critical Care Physician 2086S0102X S8505 TX
Medical Specialty Clinic/Center 261QM2500X S8505 TX

Addresses

Primary practice location

221 NE Glen Oak Ave
Peoria, IL 61636-0001

Mailing address

3225 Turtle Creek Blvd Apt 1534
Dallas, TX 75219-5484
Phone (318) 401-0911

Other practice location 1

1735 Keller Springs Rd Ste 210
Carrollton, TX 75006-3014
Phone (214) 731-6060

Other practice location 2

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130410000507 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4880848118 Reassigns benefits to 3 organizations
I20171003005334 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 4880848118 Reassigns benefits to 1 organization
I20230608002775 IL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4880848118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Baylor College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

900 Main St
Suite 630
Peoria, IL 61602-5024
Phone (309) 672-4433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036163805ILMDSurgical Critical Care Physician
S8505TXMDMedical Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Physician Services, PLLC Critical Care Medicine CurrentSince Apr 25, 2024 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Jul 1, 2023 Accepting new patients
Northeast Texas Intensivists, PLLC Critical Care Medicine CurrentSince May 6, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 19, 2023 Accepting new patients
Carle Health Care Incorporated CurrentSince Jan 1, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 19, 2023 Accepting new patients
Northern Arizona Healthcare Corporation Surgery Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince May 15, 2023 Accepting new patients
Livi Medical Services LLC PastSince Aug 26, 2024 Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A1
Peoria, IL 61602

900 Main St
Ste 630
Peoria, IL 61602
Phone (309) 627-4433

120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

800 E Dawson St
Fl 4
Tyler, TX 75701
Phone (903) 531-4080

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: dwillsmd397122@carlehiedirect.net

Organizations & group practices 10

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 4

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1063531804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 TURTLE CREEK BLVD APT 1534",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195484",
            "telephone_number": "318-401-0911",
            "fax_number": "386-226-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616360001",
            "telephone_number": "309-672-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1735 Keller Springs Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750063014",
            "country_code": "US",
            "telephone_number": "214-731-6060",
            "fax_number": "318-401-0911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLS",
        "first_name": "DELINDA",
        "middle_name": "DEMITA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036163805",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "S8505",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "S8505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.