Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588041164 Individual Practitioner Male Practitioner

Dr. Shane Rainey , DO

Pediatrics • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Shane Rainey, DO is a registered healthcare professional specializing in Pediatrics in Peoria, IL. Practice services are available at 530 NE GLEN OAK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096552274
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1255301909

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Peoria, IL (3277 Statewide)

Telehealth Adoption Rate
1.0% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036.144466

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Eric Amparan , MD

Student in an Organized Health Care Education/Training Program

NPI 1003501974

Doctor of Medicine (M.D.)

NPI 1013446921

Doctor of Osteopathic Medicine (D.O.)

Dr. Simrin Atwal , DO

Student in an Organized Health Care Education/Training Program

NPI 1053802751

Doctor of Osteopathic Medicine (D.O.)

NPI 1093120453

Doctor of Medicine (M.D.)

Dr. Sana Alnajjar , DO

Student in an Organized Health Care Education/Training Program

NPI 1093601783

Doctor of Osteopathic Medicine (D.O.)

Dr. Deboshruti Chakraborty , MBBS

Student in an Organized Health Care Education/Training Program

NPI 1104753888

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address January 07, 2019

Registered at 4005 W CARROUSEL LN, PEORIA, IL 616152860 (Tel: 6308825719)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2019

Pediatrics (License #036.144466 in IL)

NPI Profile Active May 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2015

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552274)

📍
Updated Business Mailing Address May 02, 2015

Registered at 9406 BOAT CLUB RD, FORT WORTH, TX 761793265 (Tel: 8177062071)

👤
Provider Name / Credentials Updated May 02, 2015

Recorded as SHANE RAINEY, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 02, 2015

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: 1588041164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2015
Last Update: January 07, 2019
Sole Proprietor: Yes

Mailing Address

4005 W Carrousel Ln

Peoria, IL 616152860

Phone: 6308825719

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.