Active NPI
Shawn Seibert, MD
- Internal Medicine Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036106825
- Practice address
- 8940 N Wood Sage Rd
Peoria, IL 61615-7822 - Phone
- (309) 243-3000
- Fax
- (309) 243-3044
- NPI assigned
- Aug 1, 2006
- Last updated
- Mar 2, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036106825 | IL | Primary |
Addresses
Primary practice location
8940 N Wood Sage Rd
Peoria, IL 61615-7822
Mailing address
8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone (309) 243-3000
Other practice location 1
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5733
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7215059 | Other | IL | BCBS PPO |
| 0361068251 | Medicaid | IL | |
| 078557 | Other | IL | HEALTH ALLIANCE |
| 658865 | Other | IL | HEALTHLINK |
| 110240736 | Other | IL | RAILROAD MEDICARE |
| IL01K6 | Other | IL | JOHN DEERE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 NE Glen Oak
Peoria, IL 61636-0001
Phone (309) 672-5522
221 NE Glen Oak Ave
Peoria, IL 61636-0001
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
8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone (309) 243-3000
900 Main St
Suite 100
Peoria, IL 61602-5003
Phone (309) 672-4202
Hospital & facility affiliations
- Carle Health Methodist Hospital
- Saint Francis Medical Center
- Carle Health Proctor Hospital
- Carle Health Pekin Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036106825 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Health Systems | Internal Medicine | Current | Accepting new patients |
| Carle Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Oncology-Hematology Associates of Central Illinois P C | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Internal Medicine | Past | Accepting new patients |
| Oncology Hematology Associates of Central Illinois | Past | Accepting new patients |
Locations
5100 Reliable Pkwy
Chicago, IL 60686
Phone (309) 672-4809
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
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
815 Main St
Ste A1
Peoria, IL 61602
8940 N Wood Sage Rd
Peoria, IL 61615
Phone (309) 243-3610
900 Main St
Ste 500
Peoria, IL 61602
Phone (309) 637-3500
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
110 Eastgate Dr
Washington, IL 61571
Phone (309) 243-3016
Interoperability endpoints
- shawn.seibert@ilcc.ikm.direct-ci.com
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Hematology & Oncology Physician
- Peoria, IL
- NPI 1801896063
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Carle Health Princeville
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
Internal Medicine
-
dba Illinois CancerCare, pc
- Community/Retail Pharmacy
- Washington, IL
- NPI 1952058422
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Proctor Hospital
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1437166717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8940 N WOOD SAGE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616157822",
"telephone_number": "309-243-3000",
"fax_number": "309-243-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8940 N WOOD SAGE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616157822",
"telephone_number": "309-243-3000",
"fax_number": "309-243-3044"
}
],
"practiceLocations": [
{
"address_1": "221 NE Glen Oak Ave",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616360001",
"country_code": "US",
"telephone_number": "309-672-5733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEIBERT",
"first_name": "SHAWN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036106825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PPO",
"identifier": "7215059",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361068251",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "078557",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "658865",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110240736",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "IL01K6",
"state": "IL"
}
],
"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 Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.