NPIMap

Individual provider Active NPI

Hady Sfeir

  • Endocrinology, Diabetes & Metabolism Physician
  • Peoria, IL
National Provider Identifier
1952491243
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036-096259 Issued in IL
Practice address
5105 Glen Park PL
Peoria, IL 61614-4688
Phone
(309) 683-8383
Fax
(309) 683-8386
NPI assigned
Oct 15, 2006
Last updated
Jan 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036096259 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036-096259 IL Primary

Addresses

Primary practice location

5105 Glen Park PL
Peoria, IL 61614-4688

Mailing address

5105 Glen Park PL
Peoria, IL 61614-4688
Phone (309) 683-8383

Other identifiers 1

IdentifierTypeStateIssuer
036096259MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000257 IL Practitioner - EndocrinologyPractitioner - Internal Medicine 8527058361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036096259ILMDInternal Medicine Physician
036-096259ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients
Lincoln County Memorial Hospital Internal Medicine Past Accepting new patients
Osf Multispecialty Group - Eastern Region, LLC Internal Medicine Past Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

5105 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 308-5900

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

1001 Main St
Ste 400
Peoria, IL 61606
Phone (309) 308-0920

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

200 E Pennsylvania Ave
Peoria, IL 61603
Phone (309) 624-4000

1800 N Knoxville Ave
Ste E
Peoria, IL 61603
Phone (309) 308-0910

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1952491243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 GLEN PARK PL",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144688",
            "telephone_number": "309-683-8383",
            "fax_number": "309-683-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 GLEN PARK PL",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144688",
            "telephone_number": "309-683-8383",
            "fax_number": "309-683-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SFEIR",
        "first_name": "HADY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036096259",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036-096259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096259",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.