Individual provider Active NPI

Samer B Sader, MD

  • Nephrology Physician
  • Peoria, IL
National Provider Identifier
1831220318
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036112702 Issued in IL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P002317498OtherILRAILROAD MEDICARE
036112702MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050831000760 IL Practitioner - NephrologyPractitioner - Internal Medicine 4183656051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
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
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians
Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians

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

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Renal Intervention Center, PLLC Nephrology Current Accepting new patients
Renalcare Associates, S.C. Nephrology CurrentSince Jul 5, 2005 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 25, 2022 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 25, 2022 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Jul 9, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.