Channing Petrak, MD
NPI 1952370538 · Pediatrics Physician · Peoria, IL
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Channing Petrak, MD is a Pediatrics Physician provider in Peoria, IL (NPI 1952370538).
Provider details
- NPI number
- 1952370538
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036108511 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-03-16
- Last updated
- 2013-07-22
Frequently asked questions
- What is Channing Petrak's NPI number?
- Channing Petrak's National Provider Identifier (NPI) is 1952370538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Channing Petrak's specialty?
- Channing Petrak is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Channing Petrak located?
- Channing Petrak's practice location on file with NPPES is Dept of Pediatrics, Peoria, IL 61603.
- What is Channing Petrak's phone number?
- The practice phone number listed in the NPPES registry for Channing Petrak is (309) 624-9587.
- Does Channing Petrak accept Medicare?
- Channing Petrak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Channing Petrak's NPI active?
- Yes — Channing Petrak's NPI (1952370538) is active in the NPPES registry as of the last update on 2013-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.