Individual provider Active NPI

Michele A Couri, M.D.

  • Specialist
  • Peoria, IL
National Provider Identifier
1861471583
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036102227 Issued in IL
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

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Teverbaugh Croland & Mueller OB/GYN & Associates, S.C. Specialist Current Accepting new patients
J & P Medical Services Inc PastSince Aug 23, 2023 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 11 clinicians

Practice addresses (Care Compare)

6708 N Knoxville Ave
Peoria, IL 61614-2862
Phone (309) 692-6838

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064
  • Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209

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

Verify at the official NPI Registry.