Individual provider Active NPI

Gordon W James, MD

  • Nephrology Physician
  • Peoria, IL
National Provider Identifier
1124158431
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036101714 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
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 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 036101714 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

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-6427

Other practice location 2

600 S 13th St Ste K
Pekin, IL 61554-4936
Phone (309) 676-8123

Other identifiers 1

IdentifierTypeStateIssuer
036101714MedicaidIL

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
I20101208000934 IL Practitioner - Nephrology 5991607640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Saint Louis University School of Medicine, 1992
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

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • FMC - Central Illinois Pekin Dialysis facility, Pekin, IL, CCN 142571
  • DaVita Tazewell County Dialysis Dialysis facility, Pekin, IL, CCN 142767
  • 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
  • Carle Health Pekin Hospital Hospital, Pekin, IL, CCN 140120
  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013
  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Jul 1, 2022 Accepting new patients
Renalcare Associates, S.C. Nephrology CurrentSince Jun 19, 2000 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 24, 2021 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 1, 2022 Accepting new patients
Renal Intervention Center, PLLC Nephrology PastSince Aug 1, 2002 Accepting new patients

Locations

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

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

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

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

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

600 S 13th St
Ste 3
Pekin, IL 61554
Phone (309) 347-1212

600 S 13th St
Ste K
Pekin, IL 61554
Phone (309) 347-1151

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

515 NE Glen Oak Ave
Ste 108
Peoria, IL 61603

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

Interoperability endpoints

  • Direct secure messaging: gjames7692@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.

Hospital & facility affiliations 8

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1124158431",
    "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": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-238-6427",
            "fax_number": "217-258-4175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 S 13th St Ste K",
            "address_purpose": "LOCATION",
            "city": "Pekin",
            "state": "IL",
            "postal_code": "615544936",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "GORDON",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036101714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101714",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.