Active NPI
Michael Leroy Peil, M.D.
- Pulmonary Disease Physician
- Peoria, IL
National Provider Identifier
1821084567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036085847
- Practice address
- 1001 Main St
Suite 200
Peoria, IL 61606-1907 - Phone
- (309) 672-5682
- Fax
- (309) 672-3147
- NPI assigned
- Sep 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036085847 | IL | Primary |
Addresses
Primary practice location
1001 Main St
Suite 200
Peoria, IL 61606-1907
Mailing address
1001 Main St
Suite 200
Peoria, IL 61606-1907
Phone (309) 672-5682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085847 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036085847 | IL | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1821084567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAIN ST",
"address_2": "SUITE 200",
"city": "PEORIA",
"state": "IL",
"postal_code": "616061907",
"telephone_number": "309-672-5682",
"fax_number": "309-672-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN ST",
"address_2": "SUITE 200",
"city": "PEORIA",
"state": "IL",
"postal_code": "616061907",
"telephone_number": "309-672-5682",
"fax_number": "309-672-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIL",
"first_name": "MICHAEL",
"middle_name": "LEROY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036085847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036085847",
"state": "IL"
}
],
"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 Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.