JOSUE FLORES DABOUB M.D.
NPI 1306108105
Medical Genetics - Clinical Genetics (M.D.) in Peoria, IL

Active since June 08, 2012PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-3313 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Josue Flores Daboub M.d. NPPES

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

JOSUE FLORES DABOUB M.D. (NPI 1306108105) is an individual clinical genetics (m.d.) provider in Peoria, Illinois, licensed in Utah (9791717-1205) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306108105
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameJOSUE FLORES DABOUBCredential: M.D.
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 264-3313
Sole ProprietorYes
Enumeration DateJune 8, 2012
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1306108105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in UT · 9791717-1205
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedPediatricsTaxonomy 208000000X · License 036130096 (IL)
530 NE GLEN OAK AVE, Peoria, IL 61637

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josue Flores Daboub M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Josue Flores Daboub reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 751 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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
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 Josue Flores Daboub's NPI number?

The NPI number for Josue Flores Daboub is 1306108105. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Josue Flores Daboub located?

Josue Flores Daboub practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-3313.

What is Josue Flores Daboub's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Josue Flores Daboub enrolled in Medicare?

Yes. Josue Flores Daboub is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Josue Flores Daboub's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josue Flores Daboub reassigns Medicare benefits to University Of Utah Pediatric Services (Sandy, UT). The 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 Josue Flores Daboub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josue Flores Daboub accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Josue Flores Daboub 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.

When was this NPI record last updated?

The NPPES record for Josue Flores Daboub was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.