Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Mandie Geneil Prior , DO

Pediatrics β€’ Peoria, IL

Active NPI 1518696780 Individual Practitioner Female Practitioner
Practice location in NPPES

530 Ne Glen Oak Ave
Peoria, IL 616370001

Call 3096557171 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096557171
Organization at the Same NPPES Address or Phone
University Of Illinois Facility NPI 1255301909

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa

Graduation Year

2022

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Prior has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Prior as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Peoria and Illinois

102 active clinicians are listed under Pediatrics with a practice address in Peoria, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peoria

1% of these 102 clinicians have the CMS telehealth indicator.

13.7% of these 102 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 036174739

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20260521000410

Enrollment State Jurisdiction

IL

PECOS Control ID

9537638382

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Motaz Abas , MD

Internal Medicine

NPI 1215510201

Doctor of Medicine (M.D.)

NPI 1861952707

Doctor of Medicine (M.D.)

Dr. Bassel Abouzeid , MD

Obstetrics & Gynecology

NPI 1376160846

Doctor of Medicine (M.D.)

Dr. Susan Abraham , MD

Internal Medicine

NPI 1598926818

Doctor of Medicine (M.D.)

Dr. Tasneem Adenwala , MD

Internal Medicine

NPI 1437721123

Doctor of Medicine (M.D.)

Dr. Zohair Ahmed , MD

Internal Medicine - Gastroenterology

NPI 1578826939

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 24, 2026

Recorded as MANDIE PRIOR, DO

βœ…
NPI Profile Active June 05, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 05, 2022

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096557171)

πŸ“
Business Mailing Address (Initial Record) June 05, 2022

Registered at 1104 E RICHWOODS BLVD, PEORIA, IL 616031418 (Tel: 6412037345)

πŸ‘€
Provider Name / Credentials (Initial Record) June 05, 2022

Recorded as MANDIE GASSMAN, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 05, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1518696780
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2022
Last Update: April 24, 2026
Sole Proprietor: No

Other Pediatrics Specialists in Peoria

All Pediatrics Specialists in Peoria

Mailing Address

1104 E Richwoods Blvd

Peoria, IL 616031418

Phone: 6412037345

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.