Active NPI
Nabeel Rana, M.D.
- Vascular Surgery Physician
- Peoria, IL
National Provider Identifier
1306976048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 036.118672
- Practice address
- 5405 N Knoxville Ave
Heartcare Midwest
Peoria, IL 61614 - Phone
- (302) 377-5663
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C7-0002433 | DE | |
| Vascular Surgery Physician | 2086S0129X | 036.118672 | IL | Primary |
Addresses
Primary practice location
5405 N Knoxville Ave
Heartcare Midwest
Peoria, IL 61614
Mailing address
PO Box 9382
Peoria, IL 61612-9382
Phone (309) 691-4410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0002433 | DE | MD | Surgery Physician |
| 036.118672 | IL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartcare Midwest | Past | Accepting new patients | |
| Heartcare Midwest , LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rural Acute Care Hospital
- Bloomington, IL
- NPI 1477782845
-
- Cardiovascular Disease Physician
- Peoria, IL
- NPI 1720023179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1306976048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9382",
"city": "PEORIA",
"state": "IL",
"postal_code": "616129382",
"telephone_number": "309-691-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5405 N KNOXVILLE AVE",
"address_2": "HEARTCARE MIDWEST",
"city": "PEORIA",
"state": "IL",
"postal_code": "61614",
"telephone_number": "302-377-5663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANA",
"first_name": "NABEEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C7-0002433",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036.118672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.