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Active NPI 1659402048 Individual Practitioner Female Practitioner

Dr. Beverley L Ketel , MD

Surgery • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Beverley Ketel, MD is a registered healthcare professional specializing in Surgery in Peoria, IL. Practice services are available at 200 E PENNSYLVANIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 E Pennsylvania Ave
Suite 212

Peoria, IL 616033089

Telephone 3096768123
Fax 3096768455
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
37 Specialists

Practicing in Peoria, IL (1624 Statewide)

Telehealth Adoption Rate
10.8% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036051866

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036051866 (IL)
Commercial Insurance / Payer ID Bcbs
020051363 (IL)
Commercial Insurance / Payer ID Railroad Medicare
020051363 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Courtney Harley , ANP

Nurse Practitioner

NPI 1003361049

Adult Nurse Practitioner

Dr. Kumarpal Shrishrimal , MD

Internal Medicine - Nephrology

NPI 1023217551

Doctor of Medicine (M.D.)

Dr. Robert Bruha , MD

Internal Medicine - Nephrology

NPI 1043340367

Doctor of Medicine (M.D.)

Dr. John Hsu , MD

Transplant Surgery

NPI 1043439748

Doctor of Medicine (M.D.)

Dr. Ian Lewis , DO

Internal Medicine - Nephrology

NPI 1053937995

Doctor of Osteopathic Medicine (D.O.)

Dr. Frederick Horvath , MD

Internal Medicine - Nephrology

NPI 1063542751

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2008

Registered at 200 E PENNSYLVANIA AVE, SUITE 212, PEORIA, IL 616033089 (Tel: 3096768123)

📍
Updated Business Mailing Address December 11, 2008

Registered at 200 E PENNSYLVANIA AVE, SUITE 212, PEORIA, IL 616033089 (Tel: 3096768123)

👤
Provider Name / Credentials Updated December 11, 2008

Recorded as BEVERLEY KETEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2008

Surgery (License #036051866 in IL)

🟢
Initial NPI Registration & Enumeration March 08, 2007

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: 1659402048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2007
Last Update: December 11, 2008
Sole Proprietor: No

Mailing Address

200 E Pennsylvania Ave, Suite 212

Peoria, IL 616033089

Phone: 3096768123

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.