Individual provider Active NPI

Kimberly Ku, MD

  • Hematology & Oncology Physician
  • Peoria, IL
National Provider Identifier
1609214063
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036148459 Issued in IL
Practice address
8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone
(309) 243-3000
Fax
(309) 243-3193
NPI assigned
Jun 7, 2013
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11017278A IN
Hematology & Oncology Physician 207RH0003X 65384-20 WI
Hematology & Oncology Physician 207RH0003X 65384 WI
Hematology & Oncology Physician 207RH0003X 036148459 IL Primary

Addresses

Primary practice location

8940 N Wood Sage Rd
Peoria, IL 61615-7822

Mailing address

8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone (309) 243-3610

Other practice location 1

3105 Magory Dr
Bloomington, IL 61704-5403
Phone (309) 243-3610

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190613003109 IL Practitioner - Hematology/Oncology 5395985469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oncology-Hematology Associates of Central Illinois P CGroup PAC ID 3870571649, 64 clinicians

Practice addresses (Care Compare)

3105 Magory Dr
Bloomington, IL 61704-5403
Phone (309) 662-2102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.09 of 100Reported as group
Quality
72.2
Promoting interoperability
86
Improvement activities
40
Cost
59.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036148459ILMDHematology & Oncology Physician
65384WIMDHematology & Oncology Physician
65384-20WIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology-Hematology Associates of Central Illinois P C Hematology & Oncology CurrentSince Aug 1, 2019 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Oncology Hematology Associates of Central Il, PC Past Accepting new patients

Locations

3105 Magory Dr
Bloomington, IL 61704
Phone (309) 243-3610

1641 Broadway St
Pekin, IL 61554
Phone (309) 243-3014

8940 N Wood Sage Rd
Peoria, IL 61615
Phone (309) 243-3610

Interoperability endpoints

  • Direct secure messaging: kimberly.ku@ilcc.ikm.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1609214063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N WOOD SAGE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157822",
            "telephone_number": "309-243-3610",
            "fax_number": "309-243-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N WOOD SAGE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157822",
            "telephone_number": "309-243-3000",
            "fax_number": "309-243-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Magory Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617045403",
            "country_code": "US",
            "telephone_number": "309-243-3610",
            "fax_number": "309-243-3193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KU",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11017278A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "65384-20",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "65384",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036148459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.