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Denita Rochelle Lindsey, MD

Pediatrics in Peoria, IL. Individual provider (NPI-1).

NPI number1124580238
StatusActive
Last updated in NPPESJun 30, 2025

Details

NPI
1124580238
Entity type
Individual (NPI-1)
Name
Denita Rochelle Lindsey
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 5, 2019
Certification date
Jun 30, 2025
Last updated
Jun 30, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CRITICAL CARE (INTENSIVISTS)
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics036174277ILYes
390200000X Student in an Organized Health Care Education/Training Program––

Other names

  • Denita Rochelle Moore (Former Name)

Practice location

530 Ne Glen Oak Ave
Peoria, IL 61637-7232

Phone 309-655-2000

Mailing address

5179 Promenade Dr
Trussville, AL 35173-6345

Phone 773-398-5510

Other practice locations

1740 W Taylor St
Chicago, IL 60612-7232

Phone 866-600-2273

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics Physician providers in Peoria, IL

All 105 Pediatrics Physician providers in Peoria · All 5,546 providers in Peoria

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