Individual provider Active NPI

Rafael Marquez, MD

  • Obstetrics & Gynecology Physician
  • Peoria, IL
National Provider Identifier
1790177574
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036175175 Issued in IL
Practice address
1310 N Missouri Ave
Peoria, IL 61603-3105
Phone
(309) 308-0200
Fax
(309) 308-0201
NPI assigned
Mar 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 314829 NY
Obstetrics & Gynecology Physician 207V00000X MD481182 PA
Obstetrics & Gynecology Physician 207V00000X 036175175 IL Primary

Addresses

Primary practice location

1310 N Missouri Ave
Peoria, IL 61603-3105

Mailing address

1310 N Missouri Ave
Peoria, IL 61603-3105
Phone (309) 308-0200

Other practice location 1

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (708) 310-0392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20230804001011 PA Practitioner - Obstetrics/GynecologyPractitioner - Ophthalmology 2860722840 Reassigns benefits to 3 organizations
I20250717003062 IL Practitioner - Obstetrics/Gynecology 2860722840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northwestern University Feinberg Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314829NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Star Community Health, Inc CurrentSince Aug 1, 2023 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 1, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Star Community Health, Inc CurrentSince Aug 1, 2023 Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Aug 1, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 1, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 10, 2025 Accepting new patients
St Lukes Hospital-Anderson Campus Past Accepting new patients
FPM Urogynecology Center, LLC Past Accepting new patients

Locations

7694 Solutions Ctr
Chicago, IL 60677

1310 N Missouri Ave
Peoria, IL 61603
Phone (309) 308-3800

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

1800 N Knoxville Ave
Ste A
Peoria, IL 61603

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

3050 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (610) 435-9575

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1010 Horsham Rd
Ste 101
North Wales, PA 19454
Phone (215) 830-8700

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1790177574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N MISSOURI AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033105",
            "telephone_number": "309-308-0200",
            "fax_number": "309-308-0201"
        },
        {
            "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": "309-308-0200",
            "fax_number": "309-308-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "708-310-0392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "314829",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD481182",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036175175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.