Individual provider Active NPI

Yusuf Hussein Kebato, MD

  • Internal Medicine Physician
  • Peoria, IL
National Provider Identifier
1285339390
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036178095 Issued in IL
Practice address
Carle Health Methodist Hospital
Peoria, IL 61636-0001
Phone
(309) 672-5522
NPI assigned
Mar 31, 2023
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125081154 IL
Internal Medicine Physician 207R00000X 036178095 IL Primary
Internal Medicine Physician 207R00000X 2025040073 MO

Addresses

Primary practice location

Carle Health Methodist Hospital
Peoria, IL 61636-0001

Mailing address

Carle Health Methodist Hospital
Peoria, IL 61636-0001
Phone (309) 672-5522

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011003079 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3779938790

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

221 NE Glen Oak Ave
Peoria, IL 61636-1000

511 Chloe Rd
Pikeville, KY 41501-1585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125081154ILMDInternal Medicine Physician
2025040073MOMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1285339390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARLE HEALTH METHODIST HOSPITAL",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616360001",
            "telephone_number": "309-672-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARLE HEALTH METHODIST HOSPITAL",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616360001",
            "telephone_number": "309-672-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBATO",
        "first_name": "YUSUF",
        "middle_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125081154",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036178095",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2025040073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.