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JUBILEE PHAN M.D.
NPI 1023308483
Urology in Peoria, IL

Active since April 19, 2011PECOS EnrolledAccepts Medicare Assignment
1001 MAIN ST STE 400, PEORIA, IL 61606(309) 308-0920(309) 308-0930 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2026, Mar 30, 2026, Oct 5, 2018 and 3 more (6 updates tracked since 2016).

About Jubilee Phan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUBILEE PHAN M.D. (NPI 1023308483) is an individual urology provider in Peoria, Illinois, licensed in Illinois (036146849) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Carbondale.

NPPES Registry Identity

NPI1023308483
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameJUBILEE PHANCredential: M.D.
Location Address1001 MAIN ST STE 400Peoria, IL 61606-2036
Mailing Address1001 Main St Ste 400Peoria, IL 61606-2036 · (309) 308-0920 · Fax (309) 308-0930
Phone(309) 308-0920
Fax(309) 308-0930
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2011
Enumeration DateApril 19, 2011
Last NPPES UpdateJuly 2, 20266 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1023308483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IL · 036146849
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1001 MAIN ST STE 400, Peoria, IL 61606
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Other Names 1

Former Name (1)Jubilee Co Tan

Secondary Practice Location 1

Location 1305 W Jackson St Ste 301Carbondale, IL 62901-1474 · Phone (618) 351-9300 ext. 66239 · Fax (618) 351-9307

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jubilee Phan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921245762
PECOS Enrollment IDI20180807001143
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jubilee Phan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group
7.4 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Carle Health Medical Group
83 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Southern Illinois Medical Services, Nfp
206 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200
University Of Alabama Health Services Foundation, PC
512 mi
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1366638330 (205) 934-4983

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
190 services158 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services103 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
111 services100 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
50 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services40 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
33 services27 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Osf Holy Family Medical Center

Critical Access Hospitals · Monmouth, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141318
Location1000 W Harlem AvenueMonmouth, IL 61462 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers19 claims4,122 services$1.71 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers24 claims61 services$9.24 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
4 suppliers19 claims400 services$2.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY GARMON APN
Nurse Practitioner
1001 MAIN ST STE 400
PEORIA, IL 61606
Peoria County (309) 308-0900
NATHAN L. BRYANT APN
Nurse Practitioner
1001 MAIN ST STE 400
PEORIA, IL 61606
Peoria County (309) 308-0920
DR. LAURA R BROWN
Surgery (Surgical Critical Care)
1001 MAIN ST STE 400
PEORIA, IL 61606
Peoria County (309) 691-4005
STEPHANIE H WIELAND APN
Nurse Practitioner
1001 MAIN ST STE 400
PEORIA, IL 61606
Peoria County (309) 308-0910
DR. WENDY OLSON PADILLA M.D.
Urology
1001 MAIN ST STE 400
PEORIA, IL 61606
Peoria County (309) 308-0920
DR. AARON KAVIANI M.D.
Urology
1001 MAIN ST STE 400
PEORIA, IL 61606
Peoria County (309) 308-0920
KYLE THOMAS BARNHART MD
Surgery
1001 MAIN ST STE 400
PEORIA, IL 61606
Peoria County (309) 691-4005
DANIEL CHAN MD, PHD
Obstetrics & Gynecology
1001 MAIN ST STE 400
PEORIA, IL 61606
Peoria County (309) 308-3350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jubilee Phan's NPI number?

The NPI number for Jubilee Phan is 1023308483. It was assigned to this individual provider in the NPPES registry on April 19, 2011. The provider is also known as Jubilee Co Tan.

Where is Jubilee Phan located?

Jubilee Phan practices at 1001 Main St Ste 400, Peoria, IL 61606. The listed phone number is (309) 308-0920.

What is Jubilee Phan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jubilee Phan enrolled in Medicare?

Yes. Jubilee Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jubilee Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jubilee Phan reassigns Medicare benefits to 4 organizations: Osf Multi-Specialty Group (Peoria, IL), Carle Health Medical Group (Urbana, IL), Southern Illinois Medical Services, Nfp (Carbondale, IL) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jubilee Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jubilee Phan affiliated with any hospitals?

According to CMS data, Jubilee Phan is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, St Joseph Medical Center and Osf Holy Family Medical Center.

When was this NPI record last updated?

The NPPES record for Jubilee Phan was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.