OrganizationActive
Pediatric Group, LLC
NPI 1487290615 · Pediatrics Physician · Centralia, IL
Pediatric Group, LLC is a Pediatrics Physician organization in Centralia, IL (NPI 1487290615).
Provider details
- NPI number
- 1487290615
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pediatric Group, LLC
- Organization subpart
- Yes
- Authorized official
- Rhonda Fisher, Office Manager(618) 993-0404
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
130 S Lincoln Blvd
Centralia, IL 62801-3654
Phone: (618) 993-0404
Fax: (618) 993-1717
Street-level locationGet directions
Mailing address
3412 Office Park Dr
Marion, IL 62959-6477
Registry dates
- Enumerated
- 2019-11-22
- Last updated
- 2023-10-23
- Certified
- 2023-09-29
Frequently asked questions
- What is Pediatric Group, LLC's NPI number?
- Pediatric Group, LLC's National Provider Identifier (NPI) is 1487290615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Group, LLC?
- Pediatric Group, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Group, LLC located?
- Pediatric Group, LLC's practice location on file with NPPES is 130 S Lincoln Blvd, Centralia, IL 62801-3654.
- What is Pediatric Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Group, LLC is (618) 993-0404.
- Who is the authorized official for Pediatric Group, LLC?
- The authorized official listed on Pediatric Group, LLC's NPPES record is Rhonda Fisher, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Group, LLC's NPI active?
- Yes — Pediatric Group, LLC's NPI (1487290615) is active in the NPPES registry as of the last update on 2023-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.