NPIMap

Individual provider Active NPI

Tony Yun Hsu, M.D.

  • Emergency Medicine Physician
  • Peoria, IL
National Provider Identifier
1962601351
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.118900 Issued in IL
Practice address
3517 W Willow Knolls Dr
1-F
Peoria, IL 61614-1090
Phone
(309) 691-0925
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.118900 IL Primary

Addresses

Primary practice location

3517 W Willow Knolls Dr
1-F
Peoria, IL 61614-1090

Mailing address

3517 W Willow Knolls Dr
1-F
Peoria, IL 61614-1090
Phone (309) 691-0925

Other identifiers 4

IdentifierTypeStateIssuer
036118900MedicaidIL
0361189002MedicaidIL
P00436425OtherILRAILROAD MCARE
P00936459OtherILRRMCARE THRU CESIISC (GES)

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
I20070926000966 IL Practitioner - Emergency Medicine 9537254271 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Medical Center of IllinoisGroup PAC ID 1355259714, 387 clinicians

Practice addresses (Care Compare)

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-4281

Hospital & facility affiliations

  • Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209
  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118900ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Aug 1, 2017 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Aug 1, 2017 Accepting new patients
Epss LLC - Central Series Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Epss, LLC- Metro Series Emergency Medicine CurrentSince Dec 15, 2021 Accepting new patients
Epss Peoria LLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Stephen C. Thompson, M.D.,S.C. Past Accepting new patients

Locations

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

6300 Ridglea Pl
Ste 201
Ft Worth, TX 76116

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1962601351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 W WILLOW KNOLLS DR",
            "address_2": "1-F",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141090",
            "telephone_number": "309-691-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 W WILLOW KNOLLS DR",
            "address_2": "1-F",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141090",
            "telephone_number": "309-691-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "TONY",
        "middle_name": "YUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.118900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118900",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361189002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE",
            "identifier": "P00436425",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU CESIISC (GES)",
            "identifier": "P00936459",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.