Active NPI
James W Bauer, M.D.
- Internal Medicine Physician
- Peoria, IL
National Provider Identifier
1912901711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Practice address
- 200 E Pennsylvania Ave
Ste 105
Peoria, IL 61603-3045 - Phone
- (309) 655-7888
- Fax
- (309) 655-7905
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 1972507747
Internal Medicine
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036045082 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Group of Peoria SC | Internal Medicine | Current | Accepting new patients |
Locations
200 E Pennsylvania Ave
Ste 105
Peoria, IL 61603
Phone (309) 644-7888
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
200 E Pennsylvania Ave
Ste 105
Peoria, IL 61603-3045
Mailing address
200 E Pennsylvania Ave
Ste 105
Peoria, IL 61603-3045
Phone (309) 655-7888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912901711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E PENNSYLVANIA AVE",
"address_2": "STE 105",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033045",
"telephone_number": "309-655-7888",
"fax_number": "309-655-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E PENNSYLVANIA AVE",
"address_2": "STE 105",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033045",
"telephone_number": "309-655-7888",
"fax_number": "309-655-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "JAMES",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.