DR. DONALD E PENN M.D. NPI 1780628388

NPI Information

  • NPI: 1780628388
  • Provider Name: DR. DONALD E PENN, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 MAIN ST
    SUITE 500A
    PEORIA, IL
    ZIP 61606
  • Phone: (309) 672-4980

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NPI Details

DR. Donald E Penn, M.D. is a gastroenterology internal medicine in Peoria, IL with 46 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Donald E Penn, M.D. NPI is 1780628388. 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:

1001 MAIN ST
SUITE 500A
PEORIA, IL
ZIP 61606
Phone: (309) 672-4980
Fax: (309) 671-2944

The NPI 1780628388 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.

  • Injection, vedolizumab, 1 mg (HCPCS:J3380)
  • Injection, infliximab, excludes biosimilar, 10 mg (HCPCS:J1745)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
  • Administration of chemotherapy into vein, each additional hour (HCPCS:96415)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 5/29/2009.

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
1207RG0100XInternal MedicineGastroenterology036062844ILLINOISYes

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
1036062844MEDICAIDILLINOIS
2P11793MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3371221637OTHERILLINOISFEDERAL TAX IDENTIFICATIO
44282553OTHERILLINOISAETNA HEALTH PLANS
507215152OTHERILLINOISBLUE CROSS
6166330OTHERILLINOISHEALTHLINK
7D15860MEDICARE UPINILLINOIS
8008850OTHERILLINOISHEALTH ALLIANCE
9IL0101OTHERILLINOISJOHN DEERE
10776530OTHERILLINOISMEDICARE GROUP NUMBER
11100004399OTHERILLINOISRAILROAD 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: 11/21/2025

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