Individual provider Active NPI

Alaaedin Alhomosh, MD

  • Neurology Physician
  • Peoria, IL
National Provider Identifier
1063709913
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036181758 Issued in IL
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 624-4000
Fax
(309) 624-4010
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036181758 IL
Neurology Physician 2084N0400X 036181758 IL Primary

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 624-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, GA3 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
I20141003000157 TX Practitioner - Critical Care (Intensivists)Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospitalist 5799905337 Reassigns benefits to 18 organizations
I20241127002978 TN Practitioner - Neurology 5799905337 Reassigns benefits to 1 organization
I20250103002492 GA Practitioner - Neurology 5799905337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wael Asi MD PAGroup PAC ID 8820082233, 31 clinicians
Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians
MCH Professional Care Hospital BasedGroup PAC ID 1557535127, 81 clinicians

Practice addresses (Care Compare)

1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380-3477
Phone (281) 296-8788

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 686-6605

4214 Andrews Hwy
Suite 109
Midland, TX 79703-4822
Phone (432) 221-4243

500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-2401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q1072TXMDNeurocritical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Nov 1, 2014 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 1, 2014 Accepting new patients
The Queens Medical Center CurrentSince May 13, 2025 Accepting new patients
Southwest Medical Associates, Inc. CurrentSince May 5, 2017 Accepting new patients
Midstate Medical Center Current Accepting new patients
Quantum Emergency Physicians PA CurrentSince Jul 1, 2024 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
Hospital Care Consultants of Corpus Christi CurrentSince Feb 1, 2024 Accepting new patients
Queens University Medical Group CurrentSince May 13, 2025 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Jul 24, 2017 Accepting new patients
Memorial Health Partners Foundation, Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
The Queens Medical Center CurrentSince May 13, 2025 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Jul 24, 2017 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
MMH Physicians CurrentSince Nov 27, 2016 Accepting new patients
Queens North Hawaii Community Hospital Family Medicine CurrentSince Dec 3, 2025 Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Hni Medical Services Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Ess of South Texas LLC CurrentSince Nov 11, 2017 Accepting new patients
Ess of Port Lavaca LLC CurrentSince Jun 29, 2024 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Jun 1, 2015 Accepting new patients
Premier Family Care I, Inc Family Medicine CurrentSince Nov 11, 2024 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Sep 12, 2024 Accepting new patients
Ess of Nacogdoches LLC CurrentSince Mar 1, 2021 Accepting new patients
Wael Asi MD PA Critical Care Medicine CurrentSince May 4, 2025 Accepting new patients
Midland County Hospital District Past Accepting new patients
Ut Physicians PastSince Jun 1, 2020 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
The Queens Medical Center - Progressive Care Unit Past Accepting new patients

Locations (25 of 42)

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

1125 Cypress Station Dr
Ste E
Houston, TX 77090
Phone (281) 419-5818

Interoperability endpoints

  • Direct secure messaging: aalhomosh399278@direct.stlukeshealth.org

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 5

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1063709913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-624-4000",
            "fax_number": "309-624-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-624-4000",
            "fax_number": "309-624-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHOMOSH",
        "first_name": "ALAAEDIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036181758",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036181758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.