Rizwan Amin, MD
Individual provider Active NPI Psychiatry Physician · Peoria, IL
NPI 1205445558 · NPPES record last updated Jun 14, 2024
Key facts
- NPI
- 1205445558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 036169962 (IL)
- Practice address
- 221 NE Glen Oak Ave
Peoria, IL 61636-0002 - Phone
- (708) 369-1180
- NPI assigned
- Jul 23, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carle Health Care Incorporated
Methodist Medical Center of Illinois
Practice addresses (Care Compare)
5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1000
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
900 Main St
Peoria, IL 61602-1060
Hospital & facility affiliations
- Carle Health Methodist Hospital
- Carle Health Proctor Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240617002909 | IL | Practitioner - Psychiatry | 2668915828 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036169962 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients |
Locations
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
900 Main St
Ste 400
Peoria, IL 61602
Phone (309) 671-3100
815 Main St
Ste A1
Peoria, IL 61602
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- raminmd418008@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036169962 | IL | Yes |
Addresses
Primary practice location
221 NE Glen Oak Ave
Peoria, IL 61636-0002
Mailing address
5400 W Sienna LN Apt 5105
Peoria, IL 61615-7865
Phone (708) 369-1180
Other providers in Peoria, IL
- Amanda Breeden Counseling Services LLC
- America'S Best Contacts & Eyeglasses
- American Oxygen & Medical Equipment, Inc.
- American Pharmacy of Il Inc
- Julee Amerman
- Joyce Ammondson
- Randall J Ammondson
- Nancy A Amos-Schulte
- Justin Amos
- Amy Forsberg, LCPC, LLC
All providers in Peoria, IL · Psychiatry Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.