Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417041666 Individual Practitioner Male Practitioner

Dr. Stephen E Bash , MD

Pediatrics - Pediatric Cardiology • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Bash, MD is a registered healthcare professional specializing in Pediatrics - Pediatric Cardiology in Peoria, IL. Practice services are available at 6161 N TRAILS END under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6161 N Trails End

Peoria, IL 616143524

Telephone 3096922664
Fax 3096922664

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Pediatric Cardiology in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
11 Specialists

Practicing in Peoria, IL (167 Statewide)

Telehealth Adoption Rate
0.0% 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: 2020-12-09
Pediatrics - Pediatric Cardiology Primary Specialty

NUCC Taxonomy Code: 2080P0202X

State License IL 036-070694

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036070694 (IL)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 09, 2020

Registered at 6161 N TRAILS END, PEORIA, IL 616143524 (Tel: 3096922664)

📍
Updated Business Mailing Address December 09, 2020

Registered at 6161 N TRAILS END, PEORIA, IL 616143524 (Tel: 3096922664)

NPI Profile Active August 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2012

Registered at 420 NE GLEN OAK AVE, SUITE 304, PEORIA, IL 616033105 (Tel: 3096553453)

📍
Updated Business Mailing Address August 29, 2012

Registered at 420 NE GLEN OAK AVE, SUITE 304, PEORIA, IL 616033105 (Tel: 3096553453)

👤
Provider Name / Credentials Updated August 29, 2012

Recorded as STEPHEN BASH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2012

Pediatrics (License #036-070694 in IL)

🟢
Initial NPI Registration & Enumeration October 03, 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: 1417041666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: December 09, 2020
Sole Proprietor: Yes

Mailing Address

6161 N Trails End

Peoria, IL 616143524

Phone: 3096922664

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.