Active NPI
Roby Adhinayak Lal, DO
- Radiation Oncology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- E-0295
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001522959 | Medicaid | PA | |
| CM5868 | Other | IL | RAILROAD MEDICARE |
| P00609726 | Other | RAILROAD MEDICARE PART B PTAN | |
| 014885 | Other | IL | HEALTH ALLIANCE INS. |
| 0361160072 | Medicaid | IL | |
| P00334468 | Other | RAILROAD MEDICARE PIN |
Other names 1
- Adhinayak Roby Lal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AR, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-116007 | IL | MD | Radiation Oncology Physician |
Practice roles
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
- rlal@ampofny.medentdirect.com
- 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.
-
- Radiation Oncology Clinic/Center
- Mount Vernon, IL
- NPI 1952477028
-
- Radiation Oncology Physician
- Dixon, IL
- NPI 1386644995
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
dba UPMC Cancer Centers
- Radiation Oncology Physician
- Pittsburgh, PA
- NPI 1427025840
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Carle Health Princeville
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Primary Care Souderton
- Family Medicine Physician
- Souderton, PA
- NPI 1952295362
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
dba OSF Saint Katharine Medical Center
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.