Dr. Nicole Marie Rau, M.D.
Pediatrics, Neonatal-Perinatal Medicine in Peoria, IL. Individual provider (NPI-1).
NPI number1902249154
StatusActive
Last updated in NPPESSep 21, 2022
Details
- NPI
- 1902249154
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Marie Rau
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2013
- Certification date
- Sep 21, 2022
- Last updated
- Sep 21, 2022
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 036147994 | IL | Yes |
Practice location
530 Ne Glen Oak AvePeoria, IL 61637
Phone 309-624-0610 · Fax 309-655-2974
Mailing address
530 Ne Glen Oak AvePeoria, IL 61637
Phone 309-624-0610 · Fax 309-655-2974
Is something wrong?
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.
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