Active NPI
Ivonne Lilian Beltran Lara, MD
- Family Medicine Physician
- Galesburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036177530
- Practice address
- 3315 N Seminary St Ste 207208
Galesburg, IL 61401-1251 - Phone
- (309) 344-1000
- NPI assigned
- Apr 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036177530 | IL | Primary |
Addresses
Primary practice location
3315 N Seminary St Ste 207208
Galesburg, IL 61401-1251
Mailing address
3315 N Seminary St Ste 207208
Galesburg, IL 61401-1251
Phone (309) 344-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240806003307 | WA | Practitioner - Family Practice | 8820497910 | Reassigns benefits to 2 organizations |
| I20251125002256 | IL | Practitioner - Family Practice | 8820497910 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036177530 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary Medical Center | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| St Mary Medical Center | Family Medicine | Current | Accepting new patients |
| Osf Healthcare System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| St Mary Medical Center | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Obhg Washington, PC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
3315 N Seminary St
Ste 207208
Galesburg, IL 61401
Phone (309) 344-1000
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
521 S K St
Tacoma, WA 98405
Phone (253) 403-2900
Interoperability endpoints
- ibeltranlara707408@direct.multicare.org
Organizations & group practices 22
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Galesburg, IL
- NPI 1962467670
IL
-
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
-
- Home Health Agency
- Galesburg, IL
- NPI 1225072176
-
- Rural Health Clinic/Center
- Galesburg, IL
- NPI 1437876190
-
- Rural Health Clinic/Center
- Abingdon, IL
- NPI 1750006110
-
- Rural Health Clinic/Center
- Galesburg, IL
- NPI 1750007118
-
- Rural Health Clinic/Center
- Knoxville, IL
- NPI 1801512165
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Mary Medical CenterMulticare Health System
Practice addresses (Care Compare)
104 S Broadway St
Knoxville, IL 61448
Phone (309) 289-2335
222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788
321 Ramsay Way
Suite 104
Kent, WA 98032-4544
Phone (253) 372-7960
3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161
3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 343-5114
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
5058 Main St
Suite 100
Tacoma, WA 98407-3148
Phone (253) 533-6770
7096 Lakeland Hills Way SE
Suite 103
Auburn, WA 98092-8438
Phone (253) 545-3650
Hospital & facility affiliations
- St Mary Medical Center
- Tacoma General Allenmore Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1811577273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 N SEMINARY ST STE 207208",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011251",
"telephone_number": "309-344-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 N SEMINARY ST STE 207208",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011251",
"telephone_number": "309-344-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN LARA",
"first_name": "IVONNE",
"middle_name": "LILIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-10",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036177530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.