NPIMap

Individual provider Active NPI

Michael P Honan, M.D.

  • Internal Medicine Physician
  • Pekin, IL
National Provider Identifier
1255424750
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036086800 Issued in IL
Practice address
600 S 13TH St
Suite E
Pekin, IL 61554-4936
Phone
(309) 353-0473
Fax
(309) 353-0929
NPI assigned
Oct 2, 2006
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036086800 IL Primary

Addresses

Primary practice location

600 S 13TH St
Suite E
Pekin, IL 61554-4936

Mailing address

600 S 13TH St
Suite E
Pekin, IL 61554-4936
Phone (309) 353-0473

Other identifiers 1

IdentifierTypeStateIssuer
036086800MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000230 IL Practitioner - Internal Medicine 6901891753 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Southern Illinois University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proctor Health SystemsGroup PAC ID 3476440173, 131 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

3591 Griffin Ave
Pekin, IL 61554-6258
Phone (309) 353-6301

5401 N Knoxville Ave
Peoria, IL 61614-5021

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0425218KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems Internal Medicine Current Accepting new patients
Proctor Health Systems CurrentSince Mar 1, 2023 Accepting new patients
Proctor Health Systems CurrentSince Mar 1, 2023 Accepting new patients
Pekin Prohealth Inc Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Carle Health Medical Group Internal Medicine Past Accepting new patients
Pratt Regional Medical Center Corporation Past Accepting new patients

Locations

3223 Griffin Ave
Pekin, IL 61554
Phone (309) 347-9709

3591 Griffin Ave
Pekin, IL 61554
Phone (309) 353-1822

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

600 S 13th St
#I
Pekin, IL 61554
Phone (309) 620-9848

600 S 13th St
Ste 1
Pekin, IL 61554
Phone (309) 346-1102

600 S 13th St
Ste E
Pekin, IL 61554
Phone (309) 353-0473

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

Interoperability endpoints

  • Direct secure messaging: mhonanmd388582@carlehiedirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Apostolic Christian RestmorMorton, IL, CCN 145436 Skilled nursing facility Corporate Director
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024
Hallmark Healthcare of PekinPekin, IL, CCN 145691 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 5, 2025
Nov 5, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1255424750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "address_2": "SUITE E",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-353-0473",
            "fax_number": "309-353-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "address_2": "SUITE E",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-353-0473",
            "fax_number": "309-353-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONAN",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036086800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086800",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

Verify at the official NPI Registry.