Individual provider Active NPI

Roby Adhinayak Lal, DO

  • Radiation Oncology Physician
  • Peoria, IL
National Provider Identifier
1811983489
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
E-0295 Issued in AR
Practice address
221 NE Glen Oak Ave
Peoria, IL 61636-0002
Phone
(309) 672-5702
Fax
(309) 671-2774
NPI assigned
Sep 20, 2005
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X OS007227L PA
Radiation Oncology Physician 2085R0001X E-0295 AR Primary
Radiation Oncology Physician 2085R0001X 036-116007 IL

Addresses

Primary practice location

221 NE Glen Oak Ave
Peoria, IL 61636-0002

Mailing address

221 NE Glen Oak Ave
Peoria, IL 61636-0002
Phone (309) 672-5702

Other practice location 1

4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other identifiers 6

IdentifierTypeStateIssuer
001522959MedicaidPA
CM5868OtherILRAILROAD MEDICARE
P00609726OtherRAILROAD MEDICARE PART B PTAN
014885OtherILHEALTH ALLIANCE INS.
0361160072MedicaidIL
P00334468OtherRAILROAD MEDICARE PIN

Other names 1

  • Adhinayak Roby Lal Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AR, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20060926000212 IL Practitioner - Radiation Oncology 9335102888 Reassigns benefits to 4 organizations
I20181108001267 AR Practitioner - Radiation Oncology 9335102888 Reassigns benefits to 1 organization
I20190502002019 PA Practitioner - Radiation Oncology 9335102888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Illinois Cancer Treatment CenterGroup PAC ID 6709834567, 2 clinicians
Mt. Vernon Radiation Therapy CenterGroup PAC ID 2163439498, 5 clinicians

Practice addresses (Care Compare)

327 Il Route 2
Dixon, IL 61021-9118
Phone (815) 284-1111

4115 Veterans Memorial Dr
Mount Vernon, IL 62864-6262
Phone (618) 241-1827

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-116007ILMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Feb 15, 2026 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Feb 15, 2026 Accepting new patients
Proctor Health Systems CurrentSince Jun 16, 2018 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jun 16, 2018 Accepting new patients
Proctor Health Systems CurrentSince Jun 16, 2018 Accepting new patients
University of Pittsburgh Cancer Institute Cancer Services Radiation Oncology CurrentSince Apr 29, 2019 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 17, 2026 Accepting new patients
University of Pittsburgh Cancer Institute Cancer Services CurrentSince Apr 29, 2019 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 17, 2026 Accepting new patients
Mt Vernon Radiation Therapy Center CurrentSince Oct 20, 2025 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Geisinger Clinic Past Accepting new patients
University Radiation Oncology Consultants, PLLC Radiation Oncology Past Accepting new patients
Physician Services Corporation of Southern Illinois Inc. PastSince Jun 1, 2026 Accepting new patients

Locations

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4115 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 241-1827

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

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

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

22681 Route 68
Clarion, PA 16214
Phone (814) 227-1221

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Interoperability endpoints

  • Direct secure messaging: rlal@ampofny.medentdirect.com
  • Direct secure messaging: rlal559602@direct-ehr-ssmhc.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1811983489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616360002",
            "telephone_number": "309-672-5702",
            "fax_number": "309-671-2774"
        },
        {
            "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": "616360002",
            "telephone_number": "309-672-5702",
            "fax_number": "309-671-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "504-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAL",
        "first_name": "ROBY",
        "middle_name": "ADHINAYAK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "OS007227L",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AR",
            "license": "E-0295",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036-116007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001522959",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM5868",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B PTAN",
            "identifier": "P00609726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE INS.",
            "identifier": "014885",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361160072",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00334468",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADHINAYAK",
            "last_name": "LAL",
            "middle_name": "ROBY",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.