Active NPI
Edward Saad, MD
- Obstetrics & Gynecology Physician
- Peoria, IL
National Provider Identifier
1891764908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Practice address
- Dept of OB / GYN
530 NE Glen Oak
Peoria, IL 61637-0001 - Phone
- (309) 655-3024
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | IL | Primary |
Addresses
Primary practice location
Dept of OB / GYN
530 NE Glen Oak
Peoria, IL 61637-0001
Mailing address
1 Illini Dr
Peoria, IL 61605-2576
Phone (309) 671-8503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07215036 | Other | IL | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Illinois | Past | Accepting new patients | |
| University of Illinois | Past | Accepting new patients | |
| University of Illinois | Past | Accepting new patients | |
| University of Illinois | Obstetrics & Gynecology | Past | Accepting new patients |
| University of Illinois | Past | Accepting new patients | |
| University of Illinois | Past | Accepting new patients | |
| University of Illinois | Past | Accepting new patients |
Organizations & group practices 7
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.
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Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891764908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ILLINI DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616052576",
"telephone_number": "309-671-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT OF OB / GYN",
"address_2": "530 NE GLEN OAK",
"city": "PEORIA",
"state": "IL",
"postal_code": "616370001",
"telephone_number": "309-655-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAD",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07215036",
"state": "IL"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.