{"npi":"1669467726","type":"NPI-1","status":"active","name":{"display":"Dr. Nizar Kherallah MD","other":[],"first":"NIZAR","last":"KHERALLAH","credential":"MD"},"specialty":{"primary_taxonomy":"2080P0214X","primary_taxonomy_description":"Pediatric Pulmonology Physician","slug":"pediatric-pulmonology-physician","schema_org_specialty":null,"all":[{"code":"2080P0214X","description":"Pediatric Pulmonology Physician","primary":true,"state":"OH","license":"35072648"}]},"addresses":[{"purpose":"LOCATION","street_1":"530 NE GLEN OAK AVE DEPT OF","city":"PEORIA","state":"IL","postal_code":"616372673","country_code":"US","phone":"3096249844","fax":"3096249844"},{"purpose":"MAILING","street_1":"530 NE GLEN OAK AVE","city":"PEORIA","state":"IL","postal_code":"616370001","country_code":"US","phone":"3096244542"}],"license":{"state":"OH","number":"35072648"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2122661","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20191018000627","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"IN","pac_id":"0547267197"}]},"enumeration_date":"2005-09-15","last_updated":"2018-03-17","_meta":{"source":"NPPES","snapshot_date":"2018-03-17","doc_url":"https://findmynpi.com/api"}}