Active NPI
Hayley Ralph, M.D.
- Family Medicine Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036145737
- Practice address
- 9128 N Lindbergh Dr
Peoria, IL 61615-1422 - Phone
- (309) 323-6068
- Fax
- (217) 606-3068
- NPI assigned
- Jun 16, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125065260 | IL | |
| Family Medicine Physician | 207Q00000X | 036145737 | IL | Primary |
Addresses
Primary practice location
9128 N Lindbergh Dr
Peoria, IL 61615-1422
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Other names 1
- Hayley Liptak
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
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kewanee Hospital
Practice addresses (Care Compare)
1051 W S St
Kewanee, IL 61443-8354
Phone (309) 852-7500
134 W Adams St
Morton, IL 61550-1802
Phone (309) 291-3380
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
Hospital & facility affiliations
- Osf Saint Luke Medical Center
- Saint Francis Medical Center
- Carle Health Methodist Hospital
- Carle Health Proctor Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036145737 | IL | MD | Family Medicine Physician |
| 125065260 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current | Accepting new patients | |
| Providence Urgent Care LLC | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients |
Locations
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
9128 N Lindbergh Dr
Peoria, IL 61615
Phone (309) 323-6068
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824
Interoperability endpoints
- hayley.ralph.1@28977.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Certified Registered Nurse Anesthetist
- Monmouth, IL
- NPI 1811016124
-
- Urgent Care Clinic/Center
- Columbia, MO
- NPI 1144478033
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Critical Access Hospital
- Kewanee, IL
- NPI 1871919381
-
- 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": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1467866673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19248",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949248",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9128 N LINDBERGH DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151422",
"telephone_number": "309-323-6068",
"fax_number": "217-606-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALPH",
"first_name": "HAYLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125065260",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036145737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HAYLEY",
"last_name": "LIPTAK",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 23, 2025; 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.