Active NPI
Michele A Couri, M.D.
- Specialist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036102227
- Practice address
- 6708 N Knoxville Ave
Suite 1
Peoria, IL 61614-2862 - Phone
- (309) 692-6838
- Fax
- (309) 691-6858
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 036102227 | IL | Primary |
Addresses
Primary practice location
6708 N Knoxville Ave
Suite 1
Peoria, IL 61614-2862
Mailing address
6708 N Knoxville Ave
Suite 1
Peoria, IL 61614-2862
Phone (309) 692-6838
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040706000200 | IL | Practitioner - Obstetrics/Gynecology | 7618954454 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teverbaugh Croland & Mueller OB/GYN & Associates, S.C. | Specialist | Current | Accepting new patients |
| J & P Medical Services Inc | Past | Accepting new patients |
Locations
6708 N Knoxville Ave
Ste 1
Peoria, IL 61614
Phone (309) 691-6868
2419 W Cornerstone Ct
Peoria, IL 61614
Phone (309) 265-3415
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Peoria, IL
- NPI 1528368875
IL
-
- Obstetrics & Gynecology Physician
- Peoria, IL
- NPI 1720031602
Specialist
-
- Certified Registered Nurse Anesthetist
- Peoria, IL
- NPI 1255119996
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Couri Center for Gynecology and Integrative Womens Health SC
Practice addresses (Care Compare)
6708 N Knoxville Ave
Peoria, IL 61614-2862
Phone (309) 692-6838
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Saint Francis Medical Center
- St Mary Medical Center
- Carle Health Methodist Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1861471583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6708 N KNOXVILLE AVE",
"address_2": "SUITE 1",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142862",
"telephone_number": "309-692-6838",
"fax_number": "309-691-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6708 N KNOXVILLE AVE",
"address_2": "SUITE 1",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142862",
"telephone_number": "309-692-6838",
"fax_number": "309-691-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURI",
"first_name": "MICHELE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036102227",
"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 Feb 27, 2015; 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.