Active NPI
John Michael Irish, MD
- Vascular & Interventional Radiology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036-147061
- Practice address
- 530 NE Glen Oak Ave
Peoria, IL 61637-1000 - Phone
- (309) 655-2000
- NPI assigned
- Jul 11, 2013
- Last updated
- Oct 23, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2013022996 | MO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036-147061 | IL | Primary |
Addresses
Primary practice location
530 NE Glen Oak Ave
Peoria, IL 61637-1000
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272
Other practice location 1
701 N 1st St
Springfield, IL 62781-1000
Phone (217) 788-3000
Other practice location 2
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-0690
Other practice location 3
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0690
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
- Interventional Radiology
- Education
- Rush Medical College of Rush University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272
5213 Eagle RDG
Springfield, IL 62711-7809
Phone (309) 740-4272
530 Park Ave E
Princeton, IL 61356-3903
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Saint Francis Medical Center
- Osf Saint Elizabeth MDL Ctr
- St Mary Medical Center
- St Joseph Medical Center
- Osf Saint Clare Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013022996 | MO | MD | Diagnostic Radiology Physician |
| 036-147061 | IL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Illinois Radiological Associates, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Cira Michigan PC | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Medical Center | Past | Accepting new patients | |
| Clinical Radiologists, S.C. | Diagnostic Radiology | Past | Accepting new patients |
| Clinical Radiologists, S.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748
111 Oakwood Rd
Peoria, IL 61611
Phone (586) 412-4144
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
530neglen Oak Ave
Peoria, IL 61636
Phone (309) 685-1054
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
Organizations & group practices 8
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.
-
dba Central Illinois Radiological Associates
- Diagnostic Radiology Physician
- Peoria, IL
- NPI 1538192828
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Crawford Memorial Hospital
- Internal Medicine Physician
- Robinson, IL
- NPI 1861423287
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Diagnostic Radiology Physician
- Edwardsville, IL
- NPI 1700219482
-
dba The Hearing Center at Memorial
- Audiologist
- Springfield, IL
- NPI 1679549968
-
- Diagnostic Radiology Physician
- Boulder, CO
- NPI 1992114714
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Clare Medical Center
- Critical Access Hospital
- Princeton, IL
- NPI 1093308439
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1619318235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OAKWOOD RD",
"city": "EAST PEORIA",
"state": "IL",
"postal_code": "616111853",
"telephone_number": "309-740-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616371000",
"telephone_number": "309-655-2000"
}
],
"practiceLocations": [
{
"address_1": "701 N 1st St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627811000",
"country_code": "US",
"telephone_number": "217-788-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-0690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 Holmes St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082640",
"country_code": "US",
"telephone_number": "816-404-0690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRISH",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-11",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2013022996",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036-147061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 23, 2023; 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.