Active NPI
Rebecca A Knight, M.D., L.M.T.
- Internal Medicine Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036091883
- Practice address
- 4300 N Brandywine Dr
Peoria, IL 61614-5550 - Phone
- (309) 692-0123
- Fax
- (309) 692-0184
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 30, 2022
- Sex
- Female
- 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 | 036091883 | IL | Primary |
Addresses
Primary practice location
4300 N Brandywine Dr
Peoria, IL 61614-5550
Mailing address
4300 N Brandywine Dr
Peoria, IL 61614-5550
Phone (309) 692-0123
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
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4300 N Brandywine Dr
Peoria, IL 61614-5550
Phone (309) 692-0123
Hospital & facility affiliations
- Carle Home Care
- Northwestern Medicine Central Dupage Hospital
- Saint Francis Medical Center
- Carle Health Proctor Hospital
- Carle Health Methodist Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036091883 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knight Medical & Rehab Center, LTD. | Internal Medicine | Current | Accepting new patients |
| Neuromed Healthcare PLLC | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
5401 N Knoxville Ave
Ste 104
Peoria, IL 61614
Phone (309) 692-0123
4300 N Brandywine Dr
Peoria, IL 61614
Phone (309) 338-3301
6811 N Knoxville Ave
Peoria, IL 61614
Phone (309) 692-0123
Organizations & group practices 3
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 The Knight Center for Integrated Health
- Internal Medicine Physician
- Peoria, IL
- NPI 1083738280
-
- Rehabilitation Chiropractor
- Peoria, IL
- NPI 1154292662
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- 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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1437261047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N BRANDYWINE DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145550",
"telephone_number": "309-692-0123",
"fax_number": "309-692-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N BRANDYWINE DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145550",
"telephone_number": "309-692-0123",
"fax_number": "309-692-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "REBECCA",
"middle_name": "A",
"credential": "M.D., L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036091883",
"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 30, 2022; 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.