Tamara Olt, M.D.
Tamara Olt, M.D. is a Gynecology Physician in Peoria, IL, registered under NPI 1104870708. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 6915 N KNOXVILLE AVE, Peoria, IL 61614. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036089480 | IL | Gynecology Physician primary |
| 036089480 | IL | Obstetrics Physician |
This provider holds licence 036089480 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Obstetrics/gynecology
- PAC ID
- 0840253175
Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Gynecology covers
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. NUCC Health Care Provider Taxonomy, code 207VG0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207VG0400X | Gynecology Physician Gynecology | 036089480 | IL | primary |
| 207VX0000X | Obstetrics Physician Obstetrics | 036089480 | IL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1104870708 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 19, 2006 |
| Last updated | Mar 6, 2026 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | M.D. |
| Practice address |
6915 N KNOXVILLE AVE Peoria, IL 61614 (309) 692-2805 Fax (309) 692-1913 |
| Mailing address |
6915 N KNOXVILLE AVE STE 1 Peoria, IL 61614 |
| Other identifiers |
IL0101
· JOHN DEERE HEALTH (IL) 343117 · HEALTHLINK (IL) P00289284/DE3835 · RAILROAD MEDICARE (IL) 07232119 · BCBS OF ILLINOIS (IL) 036089480 (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 8 | 7 | 0 | 7 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 7 | 7 | 0 | 7 | 0 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.