Peoria Ear Nose and Throat Group Sc
NPI 1952380628 · Otolaryngology Physician · Peoria, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peoria Ear Nose and Throat Group Sc is a Otolaryngology Physician organization in Peoria, IL (NPI 1952380628).
Provider details
- NPI number
- 1952380628
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tyler Robertson, Ceo(309) 202-0462
- License
- 042000742 (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
- 2006-01-11
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Frequently asked questions
- What is Peoria Ear Nose and Throat Group Sc's NPI number?
- Peoria Ear Nose and Throat Group Sc's National Provider Identifier (NPI) is 1952380628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peoria Ear Nose and Throat Group Sc?
- Peoria Ear Nose and Throat Group Sc is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Peoria Ear Nose and Throat Group Sc located?
- Peoria Ear Nose and Throat Group Sc's practice location on file with NPPES is 7301 N Knoxville Ave, Peoria, IL 61614-2017.
- What is Peoria Ear Nose and Throat Group Sc's phone number?
- The practice phone number listed in the NPPES registry for Peoria Ear Nose and Throat Group Sc is (309) 589-5900.
- Does Peoria Ear Nose and Throat Group Sc accept Medicare?
- Peoria Ear Nose and Throat Group Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peoria Ear Nose and Throat Group Sc?
- The authorized official listed on Peoria Ear Nose and Throat Group Sc's NPPES record is Tyler Robertson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peoria Ear Nose and Throat Group Sc's NPI active?
- Yes — Peoria Ear Nose and Throat Group Sc's NPI (1952380628) is active in the NPPES registry as of the last update on 2025-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.