ROBERT T SPARROW MD NPI 1134259781

NPI Information

NPI: 1134259781
Provider Name: ROBERT T SPARROW, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
420 NE GLEN OAK AVE STE 401
PEORIA, IL
ZIP 61603
Phone: (309) 676-8123
Get Directions

Robert T Sparrow, MD is a nephrology internal medicine in Peoria, IL with 45 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Robert T Sparrow, MD NPI is 1134259781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS MEDICAL COLLEGE
Graduation Year:1979

The provider's business location address is:

420 NE GLEN OAK AVE STE 401
PEORIA, IL
ZIP 61603-112
Phone: (309) 676-8123
Fax: (309) 676-8455

The NPI 1134259781 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 11/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0005X	Internal Medicine	Hypertension Specialist	036062055	ILLINOIS	No
2	207RN0300X	Internal Medicine	Nephrology	036062055	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	390001121	OTHER	ILLINOIS	BCBS
2	390001121	OTHER	ILLINOIS	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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