Pilar M Caballero, MD
Individual provider Active NPI Anesthesiology Physician · Peoria, IL
NPI 1922097989 · NPPES record last updated Dec 10, 2013
Key facts
- NPI
- 1922097989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 036069865 (IL)
- Practice address
- 8600 N State Route 91
Suite 250
Peoria, IL 61615-9541 - Phone
- (309) 692-5393
- Fax
- (309) 692-2538
- NPI assigned
- Oct 20, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040602000287 | IL | Practitioner - Anesthesiology | 4688656911 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036069865 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Genesis Health System | Current |
Accepting new patients | |
| RMH Pathologists, LTD | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Anesthesiology | Current |
Accepting new patients |
| Rockford Health Physicians | Current |
Accepting new patients | |
| Associated Anesthesiologists, S.C. | Anesthesiology | Current |
Accepting new patients |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Premier Anesthesia of Danville | Anesthesiology | Past | Accepting new patients |
Locations
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
8600 State Route 91
Ste 250
Peoria, IL 61615
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036069865 | IL | Yes |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036069865 | IL | |
| Family Medicine Physician | 207Q00000X | 036069865 | IL |
Addresses
Primary practice location
8600 N State Route 91
Suite 250
Peoria, IL 61615-9541
Mailing address
8600 N State Route 91
Suite 250
Peoria, IL 61615-9541
Phone (309) 692-5393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069865 | Medicaid | IL |
Other providers in Peoria, IL
- Darshika Sai Buvanendaran
- Rebecca Jane Byler Dann
- Casy Willaim Byrd
- Alexis Byrne
- C E Myers MD
- Mary Elizabeth Cabell
- Siddiqh Cade
- Karen Cadet-Saintilus
- Shelby Caho
- Stephanie Cain
All providers in Peoria, IL · Anesthesiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.