Individual provider Active NPI

David Edward Houser, MD

  • Nephrology Physician
  • Peoria, IL
National Provider Identifier
1629344064
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036-143236 Issued in IL
Practice address
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3168
Phone
(309) 676-8123
Fax
(309) 676-8455
NPI assigned
Mar 29, 2012
Sex
Male
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 036-143236 IL Primary

Addresses

Primary practice location

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3168

Mailing address

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3168
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

702 S Rittenhouse Dr
Pontiac, IL 61764-3630
Phone (309) 676-8123

Other practice location 4

5401 N Knoxville Ave Ste 300
Peoria, IL 61614-5021
Phone (309) 676-8123

Other practice location 5

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-6247

Other identifiers 1

IdentifierTypeStateIssuer
036143236MedicaidIL

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
I20170814001823 IL Practitioner - Nephrology 2365714169 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Southern Illinois University School of Medicine, 2012
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

  • Carle Health Outpatient Dialysis Center Dialysis facility, Peoria, IL, CCN 142338
  • FMC - Peoria North Dialysis facility, Peoria, IL, CCN 142613
  • FKC - East Peoria Home Dialysis facility, East Peoria, IL, CCN 142859
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209
  • Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013
  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-143236ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Apr 25, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 24, 2021 Accepting new patients
Renalcare Associates, S.C. Nephrology CurrentSince Jul 17, 2017 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

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

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

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

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

5401 N Knoxville Ave
Ste 300
Peoria, IL 61614
Phone (309) 671-2197

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

702 S Rittenhouse Dr
Pontiac, IL 61764
Phone (309) 662-9461

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

Interoperability endpoints

  • Direct secure messaging: dhouser9207@direct.acumenmd.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1629344064",
    "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": "616033168",
            "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": "616033168",
            "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": "702 S Rittenhouse Dr",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "IL",
            "postal_code": "617643630",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 N Knoxville Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616145021",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-238-6247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-143236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036143236",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.