Doctor profile · Federal record

Dr. William Nulty, MD

Pediatric Adolescent Medicine Physician · Peoria, IL

  • NPI 1639148356
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
One Illini Dr, Medical Service Plan
Peoria, IL 61605
(309) 671-8503
Mailing address
1 Illini Dr
Peoria, IL 616052576

Credentials & registration

NPPES · NUCC
NPI registered
March 2006 — 20 yrs on file
Profile last updated
July 9, 2007
Specialty taxonomy
2080A0000X — NUCC code
State license (1)
Illinois #036085410
Medicaid
IL #036085410

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1639148356. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
15
Distinct HCPCS
1
Medicare allowed
$1,747
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 15 15 $116

In context: peer comparison

Among 1 peers in Peoria Pediatric Adolescent Medicine Physician, average services per provider: 15. This provider delivers 1.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. William Nulty's medical specialty?
Dr. William Nulty practices Pediatric Adolescent Medicine Physician in Peoria, IL.
Where does Dr. William Nulty practice?
Dr. William Nulty practices at One Illini Dr, Peoria, IL 61605. Office phone: 3096718503.
What is Dr. William Nulty's NPI?
Dr. William Nulty's National Provider Identifier (NPI) is 1639148356, issued by NPPES.
What procedures does Dr. William Nulty commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.