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

Michael M Raso, MD

Individual provider Emergency Medicine Physician · NPI 1053518092

Michael M Raso, MD is an Emergency Medicine in Peoria, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2002, 24 years ago. Practices with Mason Hospital District, a 39-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2007
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

1115 N Bourland Ave
Peoria, IL 61606-1210
Phone: (309) 264-0730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036117194 (IL)

Record details

NPI number1053518092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1115 N Bourland Ave, Peoria, IL 61606-1210

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2002 (24 years in practice)
Group practice Mason Hospital District — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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