Individual provider Active NPI

Rebecca A Knight, M.D., L.M.T.

  • Internal Medicine Physician
  • Peoria, IL
National Provider Identifier
1437261047
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036091883 Issued in IL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000236 IL Practitioner - Internal MedicinePractitioner - Family Practice 7113918103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036091883ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knight Medical & Rehab Center, LTD. Internal Medicine CurrentSince Oct 18, 2004 Accepting new patients
Neuromed Healthcare PLLC CurrentSince Sep 21, 2025 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.