Individual provider Active NPI

Sudha Cherukuri, MD

  • Nephrology Physician
  • Peoria, IL
National Provider Identifier
1629126222
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036132128 Issued in IL
Practice address
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone
(309) 676-8123
Fax
(309) 676-8455
NPI assigned
Jan 8, 2007
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036132128 IL Primary

Addresses

Primary practice location

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112

Mailing address

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123

Other practice location 1

834 N Seminary St Ste 501
Galesburg, IL 61401
Phone (309) 676-8123

Other practice location 2

530 Park Ave E Ste 403
Princeton, IL 61356-3901
Phone (309) 676-8123

Other practice location 3

1051 W South St
Kewanee, IL 61443-8354
Phone (309) 676-8123

Other identifiers 1

IdentifierTypeStateIssuer
036-132128MedicaidIL

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
I20130621000453 IL Practitioner - NephrologyPractitioner - Internal Medicine 8527126051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians

Practice addresses (Care Compare)

420 NE Glen Oak Ave
Suite 401
Peoria, IL 61603-3112
Phone (309) 676-8123

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Renalcare Associates, S.C. Nephrology CurrentSince May 1, 2013 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince May 1, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 24, 2021 Accepting new patients
Renal Associates of Mid-Michigan PC Nephrology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

834 N Seminary St
Ste 501
Galesburg, IL 61401
Phone (309) 343-3303

1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

530 Park Ave E
Ste 403
Princeton, IL 61356
Phone (815) 224-1610

Interoperability endpoints

  • Direct secure messaging: scheruku@yourcarecommunity.org
  • Direct secure messaging: scherukuri7652@direct.acumenmd.com

Organizations & group practices 7

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 7

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1629126222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033112",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033112",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "834 N Seminary St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "61401",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Park Ave E Ste 403",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IL",
            "postal_code": "613563901",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 W South St",
            "address_purpose": "LOCATION",
            "city": "Kewanee",
            "state": "IL",
            "postal_code": "614438354",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERUKURI",
        "first_name": "SUDHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036132128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-132128",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.