Active NPI
Amandeep Sehra, M.D.
- Pediatrics Physician
- Peoria, IL
National Provider Identifier
1831712389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 125.075990
- Practice address
- 530 NE Glen Oak Avenue
Peoria, IL 61637 - Phone
- (309) 655-2274
- NPI assigned
- May 19, 2020
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125.075990 | IL | Primary |
Addresses
Primary practice location
530 NE Glen Oak Avenue
Peoria, IL 61637
Mailing address
530 NE Glen Oak Avenue
University of Illinois College of Medicine at Peoria CH
Peoria, IL 61637
Phone (309) 655-2274
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)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1831712389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 NE GLEN OAK AVENUE",
"address_2": "UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT PEORIA CH",
"city": "PEORIA",
"state": "IL",
"postal_code": "61637",
"telephone_number": "309-655-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 NE GLEN OAK AVENUE",
"city": "PEORIA",
"state": "IL",
"postal_code": "61637",
"telephone_number": "309-655-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEHRA",
"first_name": "AMANDEEP",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-19",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.075990",
"primary": true
}
],
"identifiers": [],
"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 May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.