MR. KAMLESH SAMSON MACWAN MD NPI 1851306575

NPI Information

  • NPI: 1851306575
  • Provider Name: MR. KAMLESH SAMSON MACWAN, MD
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 530 NE GLEN OAK AVE
    ST FRANCIS MEDICAL CENTER
    PEORIA, IL
    ZIP 61637
  • Phone: (309) 655-2485

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NPI Details

MR. Kamlesh Samson Macwan, MD is a neonatal-perinatal medicine pediatrics in Peoria, IL. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. MR. Kamlesh Samson Macwan, MD NPI is 1851306575. 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:

530 NE GLEN OAK AVE
ST FRANCIS MEDICAL CENTER
PEORIA, IL
ZIP 61637
Phone: (309) 655-2485
Fax: (309) 655-2874

The NPI 1851306575 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 7/30/2006 and was last updated on 9/11/2025.

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
1208000000XPediatrics53948ILLINOISNo
22080N0001XPediatricsNeonatal-Perinatal Medicine3248ILLINOISYes

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
1004082OTHERILLINOISHEALTH ALLIANCE
2IL0105OTHERILLINOISJOHN DEERE
303608163702MEDICAIDILLINOIS
47215111OTHERILLINOISBLUE CROSS BLUE SHIELD

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

NPI Synchronization or Removal

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