Active NPI
Peter Egwom, MD
- Medical Oncology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 036180445
- Practice address
- 1310 N Missouri Ave
Peoria, IL 61603-3105 - Phone
- (309) 308-3800
- Fax
- (309) 623-2330
- NPI assigned
- Jul 6, 2020
- Last updated
- Jun 10, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2020020069 | MO | |
| Internal Medicine Physician | 207R00000X | MD210011536 | MD | |
| Medical Oncology Physician | 207RX0202X | 036180445 | IL | Primary |
Addresses
Primary practice location
1310 N Missouri Ave
Peoria, IL 61603-3105
Mailing address
10 Center Dr BLDG 10
Bethesda, MD 20892-0001
Phone (202) 412-1982
Other practice location 1
NIH Hematology/Oncology Fellowship Program
10 Center Drive, Building 10, Room B2L312
Bethesda, MD 20892-0001
Phone (202) 412-1982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 871-6700
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-5320
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD210011536 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospital Center, Inc. | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Internal Medicine | Current | Accepting new patients |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Northwest Hospital Center, Inc | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, PA | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Northwest Hospital Center, Inc. | Past | Accepting new patients |
Locations
2401 W Belvedere Ave
Ofc
Baltimore, MD 21215
Phone (410) 601-1544
2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
MD
-
dba NW Breast Care Ctr,Hospitalist,PA, SHS Plastics,Surgical House Staff
- Hospitalist Physician
- Randallstown, MD
- NPI 1508961988
Internal Medicine
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Emergency Medicine Physician
- Aberdeen, MD
- NPI 1609627082
-
dba Chronic Disease Clinic
- Acute Care Nurse Practitioner
- Randallstown, MD
- NPI 1235669599
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359782
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- General Acute Care Hospital
- Randallstown, MD
- NPI 1487695888
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Randallstown, MD
- NPI 1487695888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1649898784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CENTER DR BLDG 10",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "202-412-1982",
"fax_number": "240-541-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 N MISSOURI AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033105",
"telephone_number": "309-308-3800",
"fax_number": "309-623-2330"
}
],
"practiceLocations": [
{
"address_1": "NIH Hematology/Oncology Fellowship Program",
"address_2": "10 Center Drive, Building 10, Room B2L312",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208920001",
"country_code": "US",
"telephone_number": "202-412-1982",
"fax_number": "240-541-4546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGWOM",
"first_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-06",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2020020069",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "MD210011536",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IL",
"license": "036180445",
"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 Jun 10, 2026; 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.