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

Dr. Timothy Eamon Fahey, MD

Individual provider Nuclear Radiology Physician · NPI 1861756652

Dr. Timothy Eamon Fahey, MD is a Diagnostic Radiology in Peoria, Illinois. Qualified in 2012, 14 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group and accepts Medicare assignment. Licensed in Illinois, Michigan and Missouri.

Years since qualifying
14
Licensed in
IL, MI, MO
In the registry since
2012
Specialties on file
9
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

530 NE Glen Oak Ave
Peoria, IL 61637
Phone: (309) 740-4272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Radiology Physician (primary) Taxonomy 2085N0904X · Licence 036.145291 (IL)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 4301501070 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2018008046 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036.145291 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301501070 (MI)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 036.145291 (IL)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 2018008046 (MO)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 4301501070 (MI)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 2018008046 (MO)

Record details

NPI number1861756652
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023
Mailing address111 Oakwood Rd, East Peoria, IL 61611-1853

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Peoria