Individual provider Active NPI

Robert Earl Singleton II, M.D.

  • Anesthesiology Physician
  • Peoria, IL
National Provider Identifier
1720344104
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036.140427 Issued in IL
Practice address
221 NE Glen Oak Ave
Peoria, IL 61636-7101
Phone
(309) 672-5654
Fax
(309) 672-5735
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 036.140427 IL Primary

Addresses

Primary practice location

221 NE Glen Oak Ave
Peoria, IL 61636-7101

Mailing address

5807 W Ivybridge PL
Peoria, IL 61615-9289
Phone (225) 773-5006

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
I20160801000305 IL Practitioner - Anesthesiology 3870812431 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Howard University College of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Premier Anesthesia of Illinois Professional CorporationGroup PAC ID 1254826175, 42 clinicians
Novus Illinois Service CorporationGroup PAC ID 6901293786, 28 clinicians

Practice addresses (Care Compare)

350 N Wall St
Kankakee, IL 60901-2901
Phone (855) 369-7546

645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 626-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.140427ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois Anesthesiology CurrentSince Jul 5, 2016 Accepting new patients
Novus Illinois Service Corporation Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
American Anesthesiology Associates of Illinois, S.C. Anesthesiology CurrentSince Jan 8, 2022 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 5, 2016 Accepting new patients
Premier Anesthesia of Illinois Professional Corporation Anesthesiology CurrentSince Oct 7, 2025 Accepting new patients

Locations

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

Organizations & group practices 5

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 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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562198400000",
    "number": "1720344104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 W IVYBRIDGE PL",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159289",
            "telephone_number": "225-773-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616367101",
            "telephone_number": "309-672-5654",
            "fax_number": "309-672-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2019-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.140427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.