NPIMap

Organization Active NPI

Solvera Healthcare Center Inc

  • Clinic/Center
  • Peoria, IL
National Provider Identifier
1588248249
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOLVERA HEALTHCARE CENTER INC
Practice address
3525 N University St
Peoria, IL 61604-1324
Phone
(309) 886-9172
NPI assigned
May 10, 2021
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Patrick Caplis
Title
Ceo
Phone
(309) 886-9172

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Clinic/Center 261Q00000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X
Physical Therapy Clinic/Center 261QP2000X
Radiology Clinic/Center 261QR0200X
Clinical Medical Laboratory 291U00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3525 N University St
Peoria, IL 61604-1324

Mailing address

PO Box 9727
Peoria, IL 61612-9727
Phone (309) 886-9172

Other practice location 1

256 S Soangetaha Rd
Galesburg, IL 61401-5586
Phone (309) 233-2836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210806002385 IL Part B Supplier - Clinic/Group Practice 4981007226 Receives reassigned benefits from 21 practitioners
2 other NPIs on this enrollment
Practice locations: Carbondale, IL; Peoria, IL
O20220103000214 IL DME Supplier - Physician - Family PracticeDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Pharmacy 4981007226 Practice locations: Peoria, IL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2250 Reed Station Pkwy
Ste 305
Carbondale, IL 62901
Phone (618) 457-4999

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Solvera HealthPeoria, IL, CCN C41023 Federally qualified health center Other (100%) Mar 22, 2021

Owned or controlled facilities with NPI records 1

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

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1588248249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9727",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616129727",
            "telephone_number": "309-886-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041324",
            "telephone_number": "309-886-9172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 S Soangetaha Rd",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614015586",
            "country_code": "US",
            "telephone_number": "309-233-2836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOLVERA HEALTHCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "CAPLIS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-886-9172"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.