TIMOTHY A PFLEDERER MD NPI 1154451573

NPI Information

  • NPI: 1154451573
  • Provider Name: TIMOTHY A PFLEDERER, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 NE GLEN OAK AVE STE 401
    PEORIA, IL
    ZIP 61603
  • Phone: (309) 676-8123

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NPI Details

Timothy A Pflederer, MD is a nephrology internal medicine in Peoria, IL with 38 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. Timothy A Pflederer, MD NPI is 1154451573. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1988

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 1154451573 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist (HCPCS:36906)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Insertion of abdominal tube using imaging guidance with review by radiologist (HCPCS:49418)

The enumeration date for this NPI number is 3/6/2007 and was last updated on 2/11/2025.

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
12086S0129XSurgeryVascular Surgery036084038ILLINOISNo
2207RN0300XInternal MedicineNephrology036084038ILLINOISYes

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
1036079640MEDICAIDILLINOIS

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: 11/21/2025

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