DR. JOHNNATAN MARIN MD
NPI 1164059259
Emergency Medicine in Peoria, IL
About Dr. Johnnatan Marin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHNNATAN MARIN MD (NPI 1164059259) is an individual emergency medicine provider in Peoria, Illinois, licensed in Illinois (036165712) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted Insurance
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
Dr. Johnnatan Marin Md 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.
Medicare Billing Reassignments
15Medicare enrollment records show Johnnatan Marin reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61104
- Reassigned Medicare billing, Illinois enrollment
- 106 clinicians in this Medicare group
Belvidere, IL 61008
- Reassigned Medicare billing, Illinois enrollment
- 90 clinicians in this Medicare group
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 702 clinicians in this Medicare group
Lagrange, IN 46761
- Reassigned Medicare billing, Indiana enrollment
- 93 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Fort Wayne, IN 46805
- Reassigned Medicare billing, Indiana enrollment
- 162 clinicians in this Medicare group
Longview, TX 75601
- Reassigned Medicare billing, Texas enrollment
- 272 clinicians in this Medicare group
Quincy, FL 32351
- Reassigned Medicare billing, Florida enrollment
- 82 clinicians in this Medicare group
Winter Haven, FL 33881
- Reassigned Medicare billing, Florida enrollment
- 1,065 clinicians in this Medicare group
Edinburg, TX 78541
- Reassigned Medicare billing, Texas enrollment
- 154 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Herrin Hospital
Acute Care Hospitals · Herrin, ILMemorial Hospital Of Carbondale
Acute Care Hospitals · Carbondale, ILHarrisburg Medical Center
Acute Care Hospitals · Harrisburg, ILParkview Noble Hospital
Acute Care Hospitals · Kendallville, INSouth Texas Health System
Acute Care Hospitals · Edinburg, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
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 Johnnatan Marin's NPI number?
The NPI number for Johnnatan Marin is 1164059259. It was assigned to this individual provider in the NPPES registry on March 26, 2020.
Where is Johnnatan Marin located?
Johnnatan Marin practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2553.
What is Johnnatan Marin's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Johnnatan Marin enrolled in Medicare?
Yes. Johnnatan Marin 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 Johnnatan Marin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnnatan Marin reassigns Medicare benefits to 15 organizations: Rockford Emergency Physicians, LLC (Rockford, IL), Belvidere Emergency Physicians, LLC (Belvidere, IL), Southern Illinois Medical Services, Nfp (Carbondale, IL), Community Hospital Of Lagrange County Inc (Lagrange, IN), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN) and 10 more organizations, listed in the Medicare section above. 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 Johnnatan Marin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johnnatan Marin accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, CareSource, Oscar Health and Oscar Health Maintenance Organization of Florida and 1 other insurer list Johnnatan Marin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Johnnatan Marin affiliated with any hospitals?
According to CMS data, Johnnatan Marin is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Harrisburg Medical Center, Parkview Noble Hospital and South Texas Health System.
When was this NPI record last updated?
The NPPES record for Johnnatan Marin was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Johnnatan Marin, MD · NPI 1164059259
Emergency Medicine physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1164059259 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036165712 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 NE GLEN OAK AVE, Peoria, IL 61637-1005
- **Phone:** (309) 655-2553 · **Fax:** (309) 655-2602
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Rockford Emergency Physicians, LLC (NPI 1639876634, Rockford, IL); Belvidere Emergency Physicians, LLC (NPI 1306543319, Belvidere, IL); Southern Illinois Medical Services, Nfp (NPI 1770656837, Carbondale, IL); Community Hospital Of Lagrange County Inc (NPI 1679674956, Lagrange, IN); Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** June 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164059259) · Data from the CMS NPPES public registry.