Active NPI
Maryah Mansoor, MD
- Rheumatology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 036172307
- Practice address
- 1800 N Knoxville Ave Ste E
Peoria, IL 61603-3005 - Phone
- (309) 308-0910
- Fax
- (309) 308-0919
- NPI assigned
- Jul 18, 2010
- Last updated
- Apr 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | MD482769 | PA | |
| Rheumatology Physician | 207RR0500X | C1-0011382 | DE | |
| Rheumatology Physician | 207RR0500X | 036172307 | IL | Primary |
| Rheumatology Physician | 207RR0500X | 75524 | MN |
Addresses
Primary practice location
1800 N Knoxville Ave Ste E
Peoria, IL 61603-3005
Mailing address
1800 N Knoxville Ave Ste E
Peoria, IL 61603-3005
Phone (309) 308-0910
Other practice location 1
PO Box A
Onamia, MN 56359-0807
Phone (320) 532-3154
Other practice location 2
501 West 14th Street, 5th Floor
S
Wilmington, DE 19801-1013
Phone (302) 320-2490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75524 | Other | MN | MD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MN, IA, IL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD482769 | PA | MD | Internal Medicine Physician |
| C1-0011382 | DE | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marengo Memorial Hospital | Current | Accepting new patients | |
| Christiana Care Health Services Inc. | Rheumatology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Medical Associates Clinic P C | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| Marengo Memorial Hospital | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| North Lincoln County Hospital District | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Marengo Memorial Hospital | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients |
Locations
200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362
4735 Ogletown Stanton Rd
Ste 2201
Newark, DE 19713
Phone (302) 320-2490
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
501 W 14th St
Fl 5
Wilmington, DE 19801
Phone (302) 320-2490
1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455
1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100
300 W May St
Marengo, IA 52301
Phone (319) 462-8011
300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750
110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137
901 Adams St
Afton, WY 83110
Phone (307) 885-5800
Organizations & group practices 20
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba CCHS Hospitalist Partners
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
Internal Medicine
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba Compass Memorial Healthcare
- Critical Access Hospital
- Marengo, IA
- NPI 1053368191
-
- Multi-Specialty Clinic/Center
- Dubuque, IA
- NPI 1457300790
-
dba Critical Access Hospital
- Critical Access Hospital
- Onamia, MN
- NPI 1548212699
-
dba Star Valley Medical Center
- Family Medicine Physician
- Afton, WY
- NPI 1730132523
DE
-
- Hospitalist Physician
- Hockessin, DE
- NPI 1457837981
-
- Hospitalist Physician
- Wilmington, DE
- NPI 1801325717
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Paul Medical Center
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
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 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": "1279411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1659684777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 N KNOXVILLE AVE STE E",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033005",
"telephone_number": "309-308-0910",
"fax_number": "309-308-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N KNOXVILLE AVE STE E",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033005",
"telephone_number": "309-308-0910",
"fax_number": "309-308-0919"
}
],
"practiceLocations": [
{
"address_1": "PO Box A",
"address_purpose": "LOCATION",
"city": "Onamia",
"state": "MN",
"postal_code": "563590807",
"country_code": "US",
"telephone_number": "320-532-3154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 West 14th Street, 5th Floor",
"address_2": "S",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198011013",
"country_code": "US",
"telephone_number": "302-320-2490",
"fax_number": "302-623-4395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSOOR",
"first_name": "MARYAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-18",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD482769",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "DE",
"license": "C1-0011382",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "036172307",
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MN",
"license": "75524",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "75524",
"state": "MN"
}
],
"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 Apr 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.