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

Rishi Manish Bothara, MBBS

Individual provider Internal Medicine Physician · NPI 1225729650

Rishi Manish Bothara, MBBS is an Internal Medicine in Peoria, Illinois. Qualified in 2022, 4 years ago. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

530 N.e Glen Oak Ave
Peoria, IL 61637
Phone: (309) 624-9351
Fax: (309) 655-7732
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036177264 (IL)

Record details

NPI number1225729650
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedMay 17, 2023
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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