Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477634285 Individual Practitioner Male Practitioner

Dr. Benito Camacho , MD

Internal Medicine • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Benito Camacho, MD is a registered healthcare professional specializing in Internal Medicine in Peoria, IL. Practice services are available at 1800 N KNOXVILLE AVE STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1800 N Knoxville Ave Ste A

Peoria, IL 616033005

Telephone 3096807600
Fax 3094958614
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
176 Specialists

Practicing in Peoria, IL (7544 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-30
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-047383

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036047383 (IL)

Secondary Practice Locations

200 E Pennsylvania Ave

Peoria, IL 616033089

Phone: 3096557990

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Sarah Koscica , MD

Family Medicine

NPI 1003814625

Doctor of Medicine (M.D.)

NPI 1033405469

Doctor of Medicine (M.D.)

Edward Etherton , NP

Nurse Practitioner

NPI 1053662783

Nurse Practitioner

Marcus Mutidjo , APN

Nurse Practitioner - Family

NPI 1063825446

Advanced Practice Nurse

Dr. M. Fraser , MD

Psychiatry & Neurology - Neurology

NPI 1093928566

Doctor of Medicine (M.D.)

Madeline Gresham , WHNP

Nurse Practitioner - Women's Health

NPI 1124748009

Women's Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location December 30, 2020

Registered at 1800 N KNOXVILLE AVE STE A, PEORIA, IL 616033005 (Tel: 3096807600)

📍
Updated Business Mailing Address December 30, 2020

Registered at 2214 N UNIVERSITY ST, PEORIA, IL 616043221 (Tel: 3096807669)

👤
Provider Name / Credentials Updated December 30, 2020

Recorded as BENITO CAMACHO, MD

NPI Profile Active October 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2017

Registered at 320 E ARMSTRONG AVE, PEORIA, IL 616033172 (Tel: 3096807600)

📍
Updated Business Mailing Address October 26, 2017

Registered at 200 E PENNSYLVANIA AVE, PEORIA, IL 616033089 (Tel: 3096557990)

👤
Provider Name / Credentials Updated October 26, 2017

Recorded as BENITO CAMACHO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2017

Internal Medicine (License #036-047383 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 200 E PENNSYLVANIA AVE, PEORIA, IL 616033089 (Tel: 3096557990)

📍
Updated Business Mailing Address July 08, 2007

Registered at 200 E PENNSYLVANIA AVE, PEORIA, IL 616033089 (Tel: 3096557990)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BENITO CAMACHO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #036-047383 in IL)

🟢
Initial NPI Registration & Enumeration October 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477634285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: December 30, 2020
Sole Proprietor: No

Mailing Address

2214 N University St

Peoria, IL 616043221

Phone: 3096807669

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.