Active NPI
Alexander J. Alonso, M.D.
- Nephrology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036115179
- Practice address
- 420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112 - Phone
- (309) 676-8123
- Fax
- (309) 676-8455
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036115179 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 036115179 | IL | |
| Hypertension Specialist Physician | 207RH0005X | 036115179 | IL |
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
1762 Washington Rd
Washington, IL 61571-2181
Phone (309) 676-8123
Other practice location 2
180 S Main Ste, Ste I
Canton, IL 61520
Phone (309) 676-8123
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA4079 | Other | IL | RR GROUP |
| P00414412 | Other | IL | RR INDIVIDUAL |
| 036115179 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070718000462 | IL | Practitioner - Nephrology | 7911008149 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Renalcare Associates, S.C.
Practice addresses (Care Compare)
201 N Cummings LN
Washington, IL 61571-2181
Phone (309) 676-8123
Hospital & facility affiliations
- FMC - East Peoria Dialysis
- FKC - East Peoria Home
- FMC - of Spoon River
- Saint Francis Medical Center
- Carle Health Methodist Hospital
- Graham Hospital Association
- Carle Health Proctor Hospital
- Graham Hospital Association
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036115179 | IL | MD | Hypertension Specialist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Renalcare Associates, S.C. | Nephrology | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Internal Medicine | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
180 S Main St
#2
Canton, IL 61520
180 S Main St
Ste 2I
Canton, IL 61520
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785
200 E Pennsylvania Ave
Ste 212
Peoria, IL 61603
Phone (309) 624-9259
420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
201 N Cummings Ln
Washington, IL 61571
Phone (309) 370-6406
1762 Washington Rd
Washington, IL 61571
Phone (309) 444-3207
Interoperability endpoints
- aalonso7632@direct.acumenmd.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
IL, Internal Medicine
-
- Family Medicine Physician
- Mattoon, IL
- NPI 1568581379
Internal Medicine
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Peoria, IL
- NPI 1083729834
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Canton, IL
- NPI 1891800645
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Peoria, IL
- NPI 1467016709
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1124152707",
"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": "1762 Washington Rd",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "IL",
"postal_code": "615712181",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 S Main Ste, Ste I",
"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"
}
],
"basic": {
"last_name": "ALONSO",
"first_name": "ALEXANDER",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036115179",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036115179",
"primary": false
},
{
"code": "207RH0005X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hypertension Specialist",
"state": "IL",
"license": "036115179",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR GROUP",
"identifier": "CA4079",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR INDIVIDUAL",
"identifier": "P00414412",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036115179",
"state": "IL"
}
],
"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 Jul 21, 2026; 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.