Robert A Pflederer, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

36038604 Issued in IL

Practice address

515 NE Glen Oak Ave
Suite 108
Peoria, IL 61603-3136

Phone

(309) 676-8123

Fax

(309) 676-8455

NPI assigned

Apr 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Renalcare Associates, S.C.

  • Nephrology Physician
  • Peoria, IL
  • NPI 1649300377
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457576688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NE GLEN OAK AVE",
            "address_2": "SUITE 108",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033136",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NE GLEN OAK AVE",
            "address_2": "SUITE 108",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033136",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLEDERER",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "36038604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Pettit, DNP, FNP-BC
• Nicholas Peyton, ATC
• Maci Pfeffer
• Eric L. Pfeiffer, APN
• Benjamin R Pflederer, MD
• Timothy A Pflederer, MD
• Mary Pham
• Tien T Pham, APN, CNP
• Jubilee Phan, M.D.
• Jereme Pheasant, CRNA

• Nephrology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.