Active NPI
Samer B Sader, MD
- Nephrology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036112702
- Practice address
- 420 NE Glen Oak Ave Ste 401
Peoria, IL 61603 - Phone
- (309) 676-8123
- Fax
- (309) 676-8455
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 28, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036112702 | IL | |
| Vascular Surgery Physician | 2086S0129X | 036112702 | IL | |
| Nephrology Physician | 207RN0300X | 036112702 | IL | Primary |
Addresses
Primary practice location
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603
Mailing address
420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603-3168
Phone (309) 676-8123
Other practice location 1
430 Maxine Dr
Morton, IL 61550-2495
Phone (309) 266-7600
Other practice location 2
5401 N Knoxville Ave Ste 300
Peoria, IL 61614-5021
Phone (309) 676-8123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P002317498 | Other | IL | RAILROAD MEDICARE |
| 036112702 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000
420 NE Glen Oak Ave
Suite 401
Peoria, IL 61603-3112
Phone (217) 238-6247
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Renal Intervention Center, PLLC | Nephrology | Current | Accepting new patients |
| Renalcare Associates, S.C. | Nephrology | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
Locations
505 E Grant St
Ste 201
Macomb, IL 61455
Phone (309) 833-3068
525 E Grant St
Fl 2
Macomb, IL 61455
527 E Grant St
Macomb, IL 61455
Phone (309) 344-7546
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
430 Maxine Dr
Morton, IL 61550
Phone (309) 266-7600
1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785
420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259
5401 N Knoxville Ave
Ste 300
Peoria, IL 61614
Phone (309) 671-2197
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Interoperability endpoints
- ssader7762@direct.acumenmd.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Nephrology Physician
- Peoria, IL
- NPI 1649300377
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Ambulatory Surgical Clinic/Center
- Morton, IL
- NPI 1639242506
Nephrology
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Kidney Care East Peoria Home
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Peoria, IL
- NPI 1467016709
Dialysis facility
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba OSF Saint Clare Medical Center
- Critical Access Hospital
- Princeton, IL
- NPI 1093308439
-
dba Proctor Hospital
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
-
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": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1831220318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 NE GLEN OAK AVE",
"address_2": "STE 401",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033168",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 NE GLEN OAK AVE STE 401",
"city": "PEORIA",
"state": "IL",
"postal_code": "61603",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455"
}
],
"practiceLocations": [
{
"address_1": "430 Maxine Dr",
"address_purpose": "LOCATION",
"city": "Morton",
"state": "IL",
"postal_code": "615502495",
"country_code": "US",
"telephone_number": "309-266-7600",
"fax_number": "309-266-7680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5401 N Knoxville Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616145021",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SADER",
"first_name": "SAMER",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036112702",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036112702",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036112702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P002317498",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036112702",
"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 Jul 28, 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.