IndividualActive
Sushma Shivananda, MD
NPI 1285313072 · Hospice and Palliative Medicine (Internal Medicine) Physician · Peoria, IL
Provider details
- NPI number
- 1285313072
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036176593 (IL)
Specialties & taxonomies
- Hospice and Palliative Medicine (Internal Medicine) PhysicianPrimary207RH0002XLicense 036176593 (IL)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
530 Ne Glen Oak
Peoria, IL 61637
Phone: (309) 624-4100
Street-level locationGet directions
Mailing address
530 Ne Glen Oak
Peoria, IL 61637
Registry dates
- Enumerated
- 2023-07-18
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.