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

Yasaman Kazerooni, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952807661

Yasaman Kazerooni, MD is a General Surgery in Peoria, Illinois. Graduated from Ohio State University College of Medicine in 2018, 8 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
Ohio State University College of Medicine
Licensed in
IL
In the registry since
2018
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

1001 Main St Ste 400
Peoria, IL 61606-2036
Phone: (309) 691-4005
Fax: (309) 691-6144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3595 Olentangy River Rd, Columbus, OH 43214-3440 — (614) 566-5456

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036172112 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952807661
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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