Active NPI
Timothy Michael Peklo, MD
- Family Medicine Physician
- Greensburg, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01048993
- Practice address
- 720 N Lincoln St
Greensburg, IN 47240-1327 - Phone
- (812) 663-4331
- NPI assigned
- Oct 10, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01048993A | IN | |
| Family Medicine Physician | 207Q00000X | 01048993 | IN | Primary |
Addresses
Primary practice location
720 N Lincoln St
Greensburg, IN 47240-1327
Mailing address
601 W 2ND St
Bloomington, IN 47403-2317
Phone (812) 353-9515
Other practice location 1
601 W 2nd St
Bloomington, IN 47403-2317
Phone (812) 353-9515
Other practice location 2
PO Box 637159
Cincinnati, OH 45263-2317
Phone (888) 952-6772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200224010 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060113000720 | IN | Practitioner - Family Practice | 7810911005 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048993A | IN | MD | Emergency Medicine Physician |
| 01048993 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Indiana Emergency Professionals PC | Emergency Medicine | Current | Accepting new patients |
| Professional Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000
1300 S Jackson St
Frankfort, IN 46041
Phone (765) 656-3000
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
720 N Lincoln St
Ste 100
Greensburg, IN 47240
2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100
1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500
10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195
1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778
Interoperability endpoints
- timothy.peklo@direct.dcmh.net
Organizations & group practices 7
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 Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
Emergency Medicine, IN
-
- Emergency Medicine Physician
- Lawrenceburg, IN
- NPI 1598068017
Emergency Medicine, IN
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
IN
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1144215096
Emergency Medicine, IN
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
IN
-
- Institutional Pharmacy
- Greensburg, IN
- NPI 1033216429
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1811985229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032317",
"telephone_number": "812-353-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N LINCOLN ST",
"city": "GREENSBURG",
"state": "IN",
"postal_code": "472401327",
"telephone_number": "812-663-4331"
}
],
"practiceLocations": [
{
"address_1": "601 W 2nd St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474032317",
"country_code": "US",
"telephone_number": "812-353-9515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "PO Box 637159",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452632317",
"country_code": "US",
"telephone_number": "888-952-6772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEKLO",
"first_name": "TIMOTHY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01048993A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01048993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200224010",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.