Timothy A Pflederer, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036084038 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

Last updated

Jul 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Nephrology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tpflederer7556@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renalcare Associates, S.C.

  • Nephrology Physician
  • Peoria, IL
  • NPI 1649300377
  Medicare reassignment Care Compare group NPD
• Evergreen Nephrology PLLC

  • Nephrology Physician
  • Nashville, TN
  • NPI 1982305082

  IL

  Medicare reassignment NPD Authorized official
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment NPD
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Medicare reassignment NPD
• Evergreen Nephrology of Golden State PC

  • Nephrology Physician
  • Nashville, TN
  • NPI 1932800927
  NPD (past) Authorized official
• Evergreen Nephrology of New York PLLC

  • Nephrology Physician
  • Nashville, TN
  • NPI 1730943002
  NPD (past) Authorized official
• Evergreen Nephrology of the Midwest, PLLC

  • Nephrology Physician
  • Nashville, TN
  • NPI 1801597869
  NPD (past) Authorized official
• Sarah Bush Lincoln Health Center

  dba FCH Greenville Family Medicine Clinic

  • Rural Health Clinic/Center
  • Greenville, IL
  • NPI 1811858970
  NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Renal Intervention Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • Morton, IL
  • NPI 1639242506

  Nephrology

  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1154451573",
    "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": "430 Maxine Dr",
            "address_purpose": "LOCATION",
            "city": "Morton",
            "state": "IL",
            "postal_code": "615502495",
            "country_code": "US",
            "telephone_number": "309-266-7600",
            "fax_number": "309-266-7680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFLEDERER",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036084038",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036084038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079640",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Peyton, ATC
• Maci Pfeffer
• Eric L. Pfeiffer, APN
• Benjamin R Pflederer, MD
• Robert A Pflederer, MD
• Mary Pham
• Tien T Pham, APN, CNP
• Jubilee Phan, M.D.
• Jereme Pheasant, CRNA
• Casie Phegley, M.S. CCC-SLP/L

• Nephrology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.