NPIMap

Individual provider Active NPI

Gregg D Stoner, MD

  • Family Medicine Physician
  • Peoria, IL
National Provider Identifier
1467546218
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-058849 Issued in IL
Practice address
1701 W Garden St
Peoria, IL 61605-3531
Phone
(309) 680-7600
Fax
(309) 680-7637
NPI assigned
Oct 3, 2006
Last updated
Nov 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-058849 IL Primary

Addresses

Primary practice location

1701 W Garden St
Peoria, IL 61605-3531

Mailing address

1701 W Garden St
Peoria, IL 61605-3531
Phone (309) 680-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000332 IL Practitioner - Family Practice 7618952474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-058849ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 21, 2024 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 21, 2024 Accepting new patients
Heartland Community Health Clinic PastSince Feb 1, 2014 Accepting new patients

Locations

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heartland Health ServicesPeoria, IL, CCN 141973 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Feb 1, 2014
Feb 1, 2014
Heartland Health ServicesPeoria, IL, CCN 141033 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Jul 17, 2006
Jul 17, 2006
Heartland Health ServicesPeoria, IL, CCN 141044 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Feb 1, 2014
Feb 1, 2014
Heartland Health ServicesPekin, IL, CCN 781881 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Jul 31, 2017
Jul 31, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1467546218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W GARDEN ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616053531",
            "telephone_number": "309-680-7600",
            "fax_number": "309-680-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W GARDEN ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616053531",
            "telephone_number": "309-680-7600",
            "fax_number": "309-680-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER",
        "first_name": "GREGG",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-058849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.