Active NPI
Denita Rochelle Lindsey, MD
- Pediatrics Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036174277
- Practice address
- 530 NE Glen Oak Ave
Peoria, IL 61637-7232 - Phone
- (309) 655-2000
- NPI assigned
- Apr 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036174277 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
530 NE Glen Oak Ave
Peoria, IL 61637-7232
Mailing address
5179 Promenade Dr
Trussville, AL 35173-6345
Phone (773) 398-5510
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273
Other names 1
- Denita Rochelle Moore
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Pediatrics | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
7694 Solutions Ctr
Chicago, IL 60677
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Interoperability endpoints
- dlindsey16799@uihealth.direct-ci.com
Organizations & group practices 5
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
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1124580238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5179 PROMENADE DR",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351736345",
"telephone_number": "773-398-5510"
},
{
"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": "616377232",
"telephone_number": "309-655-2000"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "866-600-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDSEY",
"first_name": "DENITA",
"middle_name": "ROCHELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-05",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036174277",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENITA",
"last_name": "MOORE",
"middle_name": "ROCHELLE",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.