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

Individual provider Internal Medicine Physician · NPI 1437721123

Tasneem Mustafa Adenwala, MD is an Internal Medicine in Peoria, Illinois. Qualified in 2016, 10 years ago. Practices with South Sound Inpatient Physicians PLLC, a 427-clinician group and accepts Medicare assignment. Licensed in Illinois and Washington.

Years since qualifying
10
Licensed in
IL, WA
In the registry since
2021
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

530 NE Glen Oak Ave
Peoria, IL 61637
Phone: (309) 655-2730
Fax: (309) 655-7732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.078517 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD61537741 (WA)

Record details

NPI number1437721123
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice South Sound Inpatient Physicians Pllc — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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