Organization Active NPI

Oncology-Hematology Associates of Central Illinois P C

  • Hematology & Oncology Physician
  • Peoria, IL
National Provider Identifier
1801896063
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C
Practice address
8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone
(309) 243-3000
Fax
(309) 243-3274
NPI assigned
Jul 28, 2005
Last updated
Nov 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Mrs. Janelle Hamilton
Title
Director of Payer Relations
Phone
(309) 243-3501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

8940 N Wood Sage Rd
Peoria, IL 61615-7822

Mailing address

8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone (309) 243-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040708001086 IL Part B Supplier - Clinic/Group Practice 3870571649 Receives reassigned benefits from 69 practitioners
O20100930054030 IL DME Supplier - Physician - Hematology/Oncology 3870571649 Practice locations: Peoria, IL

National Provider Directory

National Provider Directory

Locations

3105 Magory Dr
Bloomington, IL 61704
Phone (309) 243-3610

180 S Main St
Ste 2
Canton, IL 61520

180 S Main St
Ste 2E
Canton, IL 61520
Phone (309) 649-8960

205 Tenney St
Kewanee, IL 61443
Phone (309) 853-1339

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

603 S 13th St
Pekin, IL 61554
Phone (309) 353-0214

920 West St
Ste 212
Peru, IL 61354
Phone (309) 680-5000

530 Park Ave E
Fl Fourth
Princeton, IL 61356

24363 Spring Creek Rd
Washington, IL 61571
Phone (309) 745-5413

Practitioners & affiliated clinicians

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1801896063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N WOOD SAGE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157822",
            "telephone_number": "309-243-3000",
            "fax_number": "309-248-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N WOOD SAGE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157822",
            "telephone_number": "309-243-3000",
            "fax_number": "309-243-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
        "authorized_official_telephone_number": "309-243-3501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "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 Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.