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Dr. Sandra Wanemi Secondus , MD

Pediatrics • Peoria, IL

Active NPI 1548098478 Individual Practitioner Female Practitioner
Practice location in NPPES

530 Ne Glen Oak Ave.
Peoria, IL 61637

Call 3096552274 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 61637

Telephone 3096552274

Industry payments (Open Payments)

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

Guide: How to read an Open Payments record

NPI first issued

2024

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, “Does 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

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Addresses are self-reported to NPPES and may be out of date.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 · Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 125.083826

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.

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

Clinicians Sharing This Practice Address or Phone

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

3 listed
NPI 1235588070

Doctor of Medicine (M.D.)

Dr. Jason Lowther , MD

Student in an Organized Health Care Education/Training Program

NPI 1326662750

Doctor of Medicine (M.D.)

Dr. Komal Rai , MD

Internal Medicine

NPI 1689166100

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated July 23, 2024.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2024 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1548098478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2024
Last Update: February 24, 2025
Sole Proprietor: No

Other Pediatrics Specialists in Peoria

All Pediatrics Specialists in Peoria

Mailing Address

530 Ne Glen Oak Ave.

Peoria, IL 61637

Phone: 3096552274

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.