Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Rosewell Valentino Mackey, MD

Individual provider Diagnostic Radiology Physician · NPI 1407246663

Dr. Rosewell Valentino Mackey, MD is a Diagnostic Radiology in Peoria, Illinois. Qualified in 2014, 12 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 E Carpenter St
Peoria, IL 61637-1853
Phone: (217) 544-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Oakwood Rd, East Peoria, IL 61611-1853 — (309) 740-4272

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 036148230 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 125066112 (IL)

Record details

NPI number1407246663
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 27, 2015
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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