Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Paul Pedersen

Internal Medicine Physician in Bloomington, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053403675

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Registry record

Entity type Individual (Type 1)

Name Paul Pedersen

Sex Male

Practice address 1701 E College Ave, Bloomington, IL, 61704

Phone (309) 664-3120

Fax (309) 663-5742

Enumeration date Sep 29, 2006

Last updated in NPPES Oct 5, 2020

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 036-059949 (IL) Primary

Other identifiers

Identifier	Type	State	Issuer
036059949	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Paul Pedersen practice?

The practice location on file with NPPES is in Bloomington, IL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Paul Pedersen?

The National Provider Identifier (NPI) for Paul Pedersen is 1053403675, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-05.