Active NPI
Keila M Sierra Cintron, M.D.
- Psychiatry Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036142829
- Practice address
- 221 NE Glen Oak Ave
Peoria, IL 61636-0001 - Phone
- (309) 672-3100
- NPI assigned
- Aug 12, 2008
- Last updated
- Oct 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036142829 | IL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036142829 | IL |
Addresses
Primary practice location
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Mailing address
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011921700 | Medicaid | FL | |
| HW100Z | Other | FL | MEDICARE |
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
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
900 Main St
Peoria, IL 61602-1060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Health Systems | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Life Management of NW FL, Inc. | Psychiatry | Past | Accepting new patients |
| Compass Health, Inc | Past | Accepting new patients | |
| Life Management of NW FL, Inc. | Psychiatry | Past | Accepting new patients |
Locations
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
900 Main St
Ste 400
Peoria, IL 61602
Phone (309) 672-3100
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- ksierracintronmd389407@carlehiedirect.net
Ownership & related parties
All facility ownership & control disclosures 7
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Carle Health Methodist Hospital | Hospital | Corporate Director | Jan 1, 2024 |
| Carle Health Pekin Hospital | Hospital | Corporate Director | Jan 1, 2024 |
| Carle Health Proctor Hospital | Hospital | Corporate Director | Jan 1, 2024 |
| Proctor Community Hospital | Hospital | Corporate Director | Jan 1, 2024 |
| Carle Health Princeville | Rural health clinic | Corporate Director | Jan 1, 2024 |
| Carle Health Chillicothe | Rural health clinic | Corporate Director | Jan 1, 2024 |
| Carle Health Lacon | Rural health clinic | Corporate Director | Jan 1, 2024 |
Owned or controlled facilities with NPI records 7
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Carle Health Lacon
- Rural Health Clinic/Center
- Lacon, IL
- NPI 1073484929
Corporate Director
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
Corporate Director
-
dba Carle Health Princeville
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1184595027
Corporate Director
-
dba Carle Health Chillicothe
- Rural Health Clinic/Center
- Chillicothe, IL
- NPI 1730050675
Corporate Director
-
dba Pekin Hospital
- General Acute Care Hospital
- Pekin, IL
- NPI 1245227479
Corporate Director
-
dba Proctor Hospital
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
Corporate Director
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
Corporate Director
Organizations & group practices 9
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
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Carle Health Princeville
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
-
dba Proctor Medical Group Surgery - C K Song MD
- Ambulatory Surgical Clinic/Center
- Peoria, IL
- NPI 1720223837
-
dba Compass Health Network
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
dba Life Management Center of Northwest Florida Inc
- Psychiatry Physician
- Marianna, FL
- NPI 1255367579
-
- Psychiatry Physician
- Port St Joe, FL
- NPI 1316977515
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1447406368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616360001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616360001",
"telephone_number": "309-672-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERRA CINTRON",
"first_name": "KEILA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036142829",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036142829",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011921700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "HW100Z",
"state": "FL"
}
],
"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 Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.