Individual provider Active NPI

Adam Emil Colen, DO

  • Sports Medicine (Family Medicine) Physician
  • Peoria, IL
National Provider Identifier
1346534724
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
036138270 Issued in IL
Practice address
6000 N Allen Road
Midwest Orthopaedic Center SC
Peoria, IL 61614
Phone
(309) 691-1400
Fax
(309) 689-7094
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036138270 IL
Pain Medicine Physician 208VP0000X 036138270 IL
Sports Medicine (Family Medicine) Physician 207QS0010X 036138270 IL Primary

Addresses

Primary practice location

6000 N Allen Road
Midwest Orthopaedic Center SC
Peoria, IL 61614

Mailing address

6000 N Allen Road
Midwest Orthopaedic Center SC
Peoria, IL 61614
Phone (309) 691-1400

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
I20150814012805 IL Practitioner - Family PracticePractitioner - Sports Medicine 0941448674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians
Midwest Orthopaedic Center S CGroup PAC ID 8022917715, 45 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Methodist Medical Center of IllinoisGroup PAC ID 1355259714, 387 clinicians

Practice addresses (Care Compare)

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

6000 N Allen Rd
Peoria, IL 61614-3294
Phone (309) 691-1400

61 E Side SQ
Canton, IL 61520-2603
Phone (309) 649-1572

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

815 Main St
Peoria, IL 61602-1076
Phone (309) 672-4977

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

900 Main St
Suite 780
Peoria, IL 61602-1067
Phone (309) 672-5950

Hospital & facility affiliations

  • Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209
  • Carle Health Pekin Hospital Hospital, Pekin, IL, CCN 140120
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013
  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036138270ILMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Midwest Orthopaedic Center S C CurrentSince Aug 3, 2015 Accepting new patients
Methodist Medical Center of Illinois Family Medicine CurrentSince Jul 15, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 15, 2024 Accepting new patients

Locations

815 Main St
Ste A1
Peoria, IL 61602

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

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

6000 N Allen Rd
Peoria, IL 61614
Phone (309) 391-1400

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: acolenmd422151@carlehiedirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1346534724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N ALLEN ROAD",
            "address_2": "MIDWEST ORTHOPAEDIC CENTER SC",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61614",
            "telephone_number": "309-691-1400",
            "fax_number": "309-689-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 N ALLEN ROAD",
            "address_2": "MIDWEST ORTHOPAEDIC CENTER SC",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61614",
            "telephone_number": "309-691-1400",
            "fax_number": "309-689-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEN",
        "first_name": "ADAM",
        "middle_name": "EMIL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036138270",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036138270",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "036138270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.