Trent D Proehl, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036111370 Issued in IL

Practice address

107 Tremont St
Hopedale, IL 61747-7525

Phone

(309) 449-4338

Fax

(309) 449-4880

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

General PracticeAlso: General Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Helping Hands Home Healthcare and Staffing , LLC Home health agency, Morton, IL, CCN 148352
• Hopedale Hospital Hospital, Hopedale, IL, CCN 141330
• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
• Carle Health Pekin Hospital Hospital, Pekin, IL, CCN 140120
• Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209
• Hopedale Hospital Nursing home, CCN 14Z330

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hopedale Medical Foundation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Hopedale, IL
  • NPI 1801033071
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Helping Hands Home Healthcare and Staffing Agency, LLC

  • Home Health Agency
  • Morton, IL
  • NPI 1295960847
  Care Compare affiliation
• Hopedale Medical Foundation

  • Critical Access Hospital
  • Hopedale, IL
  • NPI 1174569438
  Care Compare affiliation
• Hopedale Medical Foundation

  • Medicare Defined Swing Bed Hospital Unit
  • Hopedale, IL
  • NPI 1194857490

  Nursing home

  Care Compare affiliation
• Methodist Medical Center of Illinois

  • General Acute Care Hospital
  • Peoria, IL
  • NPI 1164474755
  Care Compare affiliation
• Pekin Memorial Hospital

  • General Acute Care Hospital
  • Pekin, IL
  • NPI 1245227479
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1144313404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617477525",
            "telephone_number": "309-449-4338",
            "fax_number": "309-449-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617477525",
            "telephone_number": "309-449-4338",
            "fax_number": "309-449-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROEHL",
        "first_name": "TRENT",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036111370",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036111370",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111370",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary G. Merdian-Bender
• Joanna Kate Mingus, MPT
• Judith Irene Musselman
• Karen J Nordstrom-Hutchison, D.D.S.
• Rebecca Proehl
• Maddox Landon Reed, ATC, LAT, GT
• Katelyn Reinhart, APN, CNP
• Remedial Care LLC
• Alfred Nello Rossi, MD
• Lawrence J Rossi Jr., M.D.

• General Practice Physician in Hopedale, IL
• Providers in Hopedale, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.

Verify at the official NPI Registry.