Active NPI
Jugal R Thaker, MD
- Nephrology Physician
- Normal, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036164967
- Practice address
- 1302 Franklin Ave Ste 3000
Normal, IL 61761-6522 - Phone
- (309) 676-8123
- Fax
- (309) 676-8455
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036164967 | IL | |
| Nephrology Physician | 207RN0300X | 036164967 | IL | Primary |
Addresses
Primary practice location
1302 Franklin Ave Ste 3000
Normal, IL 61761-6522
Mailing address
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 624-9259
Other practice location 1
420 Ne Glen Oak Ave Ste 401
Peoria, IL 61603
Phone (309) 676-8123
Other practice location 2
702 S Rittenhouse Dr
Pontiac, IL 61764-3630
Phone (309) 676-8123
Other practice location 3
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-6247
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 |
|---|---|---|---|---|
| I20230615001935 | IL | Practitioner - Nephrology | 4688924459 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Health Ctr Dr
Mattoon, IL 61938-4644
Phone (217) 258-2525
1302 Franklin Ave
Suite 3000
Normal, IL 61761-6522
Phone (309) 663-4766
1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000
Hospital & facility affiliations
- FMC - Normal Dialysis
- FMC - McLean County
- FMC - Pontiac
- Dialyze Direct Il - Glen Ellyn
- St Joseph Medical Center
- Carle Bromenn Medical Center
- Saint James Hospital
- Saint Francis Medical Center
- Carle Health Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036164967 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Renalcare Associates, S.C. | Nephrology | Current | Accepting new patients |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1302 Franklin Ave
Ste 3000
Normal, IL 61761
Phone (309) 454-3456
1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259
702 S Rittenhouse Dr
Pontiac, IL 61764
Phone (309) 662-9461
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
Interoperability endpoints
- jthaker53910@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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
IL, Internal Medicine
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pontiac, IL
- NPI 1518072362
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Glen Ellyn, IL
- NPI 1265903876
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Normal, IL
- NPI 1124441340
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bloomington, IL
- NPI 1326420563
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1891291522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 NE GLEN OAK AVE STE 401",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033112",
"telephone_number": "309-624-9259",
"fax_number": "309-676-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 FRANKLIN AVE STE 3000",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616522",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455"
}
],
"practiceLocations": [
{
"address_1": "420 Ne Glen Oak Ave Ste 401",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "61603",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "702 S Rittenhouse Dr",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "IL",
"postal_code": "617643630",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "217-238-6247",
"fax_number": "217-258-4175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAKER",
"first_name": "JUGAL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036164967",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036164967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, 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.