OTHMAN A. JIBRIL DO
NPI 1801871967
Emergency Medicine in Bolingbrook, IL
About Othman A. Jibril Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OTHMAN A. JIBRIL DO (NPI 1801871967) is an individual emergency medicine provider in Bolingbrook, Illinois, licensed in Illinois (36106163) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Luke Medical Center, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Othman A. Jibril Do 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
2Medicare enrollment records show Othman Jibril 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
Leitchfield, KY 42754
- Reassigned Medicare billing, Indiana enrollment
- 77 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 3
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Osf Saint Luke Medical Center
Critical Access Hospitals · Kewanee, ILOsf Saint Clare Medical Center
Critical Access Hospitals · Princeton, ILCrawford Memorial Hospital
Critical Access Hospitals · Robinson, ILWoodlawn Hospital
Critical Access Hospitals · Rochester, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Othman Jibril's NPI number?
The NPI number for Othman Jibril is 1801871967. It was assigned to this individual provider in the NPPES registry on December 13, 2005.
Where is Othman Jibril located?
Othman Jibril practices at 416 N Pinecrest Rd, Bolingbrook, IL 60440. The listed phone number is (630) 739-5311.
What is Othman Jibril's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Othman Jibril enrolled in Medicare?
Yes. Othman Jibril 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 Othman Jibril's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Othman Jibril reassigns Medicare benefits to 2 organizations: Osf Multi-Specialty Group (Peoria, IL) and Concord Company Of Tennessee PLLC (Leitchfield, KY). 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 Othman Jibril's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Othman Jibril affiliated with any hospitals?
According to CMS data, Othman Jibril is affiliated with Osf Saint Luke Medical Center, Osf Saint Clare Medical Center, Crawford Memorial Hospital and Woodlawn Hospital.
When was this NPI record last updated?
The NPPES record for Othman Jibril was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Othman A. Jibril, DO · NPI 1801871967
Emergency Medicine physician in Bolingbrook, Illinois. Individual provider, active in the CMS NPPES registry since December 13, 2005.
## Identity
- **NPI:** 1801871967 (Entity type: Individual)
- **Enumerated:** December 13, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 36106163 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 416 N PINECREST RD, Bolingbrook, IL 60440-2147
- **Phone:** (630) 739-5311
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL); Concord Company Of Tennessee PLLC (NPI 1649743667, Leitchfield, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN H65313 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1801871967) · Data from the CMS NPPES public registry.