William Nulty, MD
William Nulty, MD is a Pediatric Adolescent Medicine Physician in Peoria, IL, registered under NPI 1639148356.
Getting there
The practice address on file is ONE ILLINI DR MEDICAL SERVICE PLAN, Peoria, IL 61605. 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 |
|---|---|---|
| 036085410 | IL | Pediatric Adolescent Medicine Physician primary |
This provider holds licence 036085410 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 - Internal Medicine
- PAC ID
- 8628252939
- Enrollment ID
- I20110412000263
Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adolescent Medicine covers
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NUCC Health Care Provider Taxonomy, code 2080A0000X
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 | 1639148356 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 15, 2006 |
| Last updated | Jul 9, 2007 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | MD |
| Practice address |
ONE ILLINI DR MEDICAL SERVICE PLAN Peoria, IL 61605 (309) 671-8503 |
| Mailing address |
1 ILLINI DR Peoria, IL 61605 |
| Other identifiers |
036085410
· Medicaid (IL) 07215036 · Other (IL) IL01DC · Other (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 | 6 | 3 | 9 | 1 | 4 | 8 | 3 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 2 | 4 | 7 | 3 | 1 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
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.