Active NPI
Delinda Demita Wills, MD
- Surgical Critical Care Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 036163805
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036163805 | IL | MD | Surgical Critical Care Physician |
| S8505 | TX | MD | Medical Specialty Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Physician Services, PLLC | Critical Care Medicine | Current | Accepting new patients |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Northeast Texas Intensivists, PLLC | Critical Care Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Surgery | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Livi Medical Services LLC | Past | 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
- 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.
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Critical Care Medicine (Internal Medicine) Physician
- Longview, TX
- NPI 1497536676
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
Surgery
-
- Critical Care Medicine (Internal Medicine) Physician
- Tyler, TX
- NPI 1225898034
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1457667750
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Pekin, IL
- NPI 1245227479
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.