Prairie Spine and Pain Institute SC
NPI 1518111376ActiveOrganization· Orthopaedic Surgery, Orthopaedic Surgery of the Spine· Peoria, IL
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Peoria, Illinois, registered in NPPES in November 2008. The authorized official on file is Richard A. Kube, MD, Owner.
Overview
| NPI | 1518111376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2008 |
| Last updated in NPPES | Jan 4, 2022 |
| Certified by provider | Jan 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine Primary | 207XS0117X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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