JEREMIAH BEAN DO
NPI 1336881614
Emergency Medicine in Peoria, IL
About Jeremiah Bean Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMIAH BEAN DO (NPI 1336881614) is an individual emergency medicine provider in Peoria, Illinois, licensed in Illinois (036173183) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeremiah Bean Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jeremiah Bean reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Burgaw, NC 28425
- Reassigned Medicare billing, North Carolina enrollment
- 75 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.
Physician 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 Jeremiah Bean's NPI number?
The NPI number for Jeremiah Bean is 1336881614. It was assigned to this individual provider in the NPPES registry on April 8, 2022.
Where is Jeremiah Bean located?
Jeremiah Bean practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2109.
What is Jeremiah Bean's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jeremiah Bean enrolled in Medicare?
Yes. Jeremiah Bean is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jeremiah Bean's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Bean reassigns Medicare benefits to 2 organizations: Osf Multi-Specialty Group (Peoria, IL) and Ecep II PA (Burgaw, NC). 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 Jeremiah Bean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeremiah Bean was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jeremiah Bean, DO · NPI 1336881614
Emergency Medicine physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since April 8, 2022.
## Identity
- **NPI:** 1336881614 (Entity type: Individual)
- **Enumerated:** April 8, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036173183 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 530 NE GLEN OAK AVE, Peoria, IL 61637-0001
- **Phone:** (309) 655-2109
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL); Ecep II PA (NPI 1255407680, Burgaw, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336881614) · Data from the CMS NPPES public registry.