Geetha Dodda, MD
Individual provider Active NPI Gastroenterology Physician · Princeton, IL
NPI 1528056181 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1528056181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Practice address
- 530 Park Ave E
Suite 7
Princeton, IL 61356-3901 - Phone
- (815) 875-8666
- Fax
- (815) 872-0487
- NPI assigned
- Oct 7, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100
1304 Gemini Cir
Suite 1
Ottawa, IL 61350-1690
Phone (815) 434-0276
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
920 W St
Peru, IL 61354-2763
925 W St
Peru, IL 61354-2757
Phone (309) 672-5682
Hospital & facility affiliations
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Clare Medical Center
- Osf Saint Paul Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 314 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 503 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101112000877 | IL | Practitioner - Internal Medicine |
5496762551 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036085799 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients |
Locations
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811
530 Park Ave E
Ste 207
Princeton, IL 61356
Phone (815) 875-8666
530 Park Ave E
Ste 306
Princeton, IL 61356
Phone (815) 875-4531
530 Park Ave E
Ste 7
Princeton, IL 61356
Phone (815) 875-8666
Interoperability endpoints
- geethadodda@agc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | IL | Yes |
Addresses
Primary practice location
530 Park Ave E
Suite 7
Princeton, IL 61356-3901
Mailing address
530 Park Ave E
Suite 7
Princeton, IL 61356-3901
Phone (815) 875-8666
Other providers in Princeton, IL
- Elie Chukri Daniel
- Gregg E Davis
- Carol A Debruhl
- Dennis a Farrell Enterprises, LTD.
- Jennifer Jo Derubeis
- Donald R Marion OD
- Edward Doran
- Rachel Dose
- Robbie Duckworth
- Alan Dumontier
All providers in Princeton, IL · Gastroenterology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.