DR. MARC DOUGLAS KNEPP M.D. NPI 1568686277

NPI Information

  • NPI: 1568686277
  • Provider Name: DR. MARC DOUGLAS KNEPP, M.D.
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 NE GLEN OAK AVE
    SUITE 301
    PEORIA, IL
    ZIP 61603
  • Phone: (309) 655-3456

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NPI Details

DR. Marc Douglas Knepp, M.D. is a pediatric cardiology pediatrics in Peoria, IL with 22 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DR. Marc Douglas Knepp, M.D. NPI is 1568686277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL
ZIP 61603-105
Phone: (309) 655-3456
Fax: (309) 655-3410

The NPI 1568686277 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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart for congenital defect (HCPCS:93303)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 4/12/2007 and was last updated on 11/11/2022.

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
1390200000XStudent in an Organized Health Care Education/Training Program4301083662MICHIGANNo
2207R00000XInternal Medicine4301083662MICHIGANNo
3208000000XPediatrics4301083662MICHIGANNo
42080P0202XPediatricsPediatric Cardiology036-129846ILLINOISYes

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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