Individual provider Active NPI

Peter Egwom, MD

  • Medical Oncology Physician
  • Peoria, IL
National Provider Identifier
1649898784
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
036180445 Issued in IL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250616001924 MD Practitioner - HospitalistPractitioner - Internal Medicine 3971926635 Reassigns benefits to 3 organizations
I20260616000963 IL Practitioner - Medical OncologyPractitioner - Internal Medicine 3971926635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
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

LicenseStateTypeSpecialty
MD210011536MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospital Center, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Sinai Hospital of Baltimore Inc Internal Medicine CurrentSince Jan 13, 2026 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jan 13, 2026 Accepting new patients
Northwest Hospital Center, Inc Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Feb 3, 2026 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Feb 3, 2026 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.