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DR. HERMAN JUSTIS DICK JR. M.D.
NPI 1891891370
Specialist in Bloomington, IL

Active since September 15, 2006PECOS Enrolled
2204 EASTLAND DR, BLOOMINGTON, IL 61704(309) 662-9461(309) 663-0222 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Herman Justis Dick Jr. M.d. NPPES

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

DR. HERMAN JUSTIS DICK JR. M.D. (NPI 1891891370) is an individual specialist in Bloomington, Illinois, licensed in Illinois (036056374) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891891370
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. HERMAN JUSTIS DICK JR.Credential: M.D.
Location Address2204 EASTLAND DRBloomington, IL 61704-3566
Mailing Address2204 Eastland DrBloomington, IL 61704-3566 · (309) 662-9461 · Fax (309) 663-0222
Phone(309) 662-9461
Fax(309) 663-0222
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMay 21, 2008
✔ NPI 1891891370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036056374
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2204 EASTLAND DR, Bloomington, IL 61704
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Other Identifiers 4

Medicare UPINC41022IL
Other5715381IL · Blue Cross Blue Shield
Other130005238IL · Medicare Id
Medicaid036056374IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Herman Justis Dick Jr. 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 Reassignments

2

Medicare enrollment records show Herman Dick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corp.
2.5 mi
General Acute Care Hospital
1304 FRANKLIN AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1831420520 (309) 454-1400
Carle West Physician Group Inc
2.6 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295

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 9

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

EDWARD W PEGG III MD
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900
DR. EDWARD W PEGG IV M.D.
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900
DR. FANG LI M.D.
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9461
SLEEP CENTER OF CENTRAL ILLINOIS LLC
Clinic/Center (Sleep Disorder Diagnostic)
2204 EASTLAND DR, SUITE 100
BLOOMINGTON, IL 61704
McLean County (309) 662-1558
MR. MUNIB S MAFAZY APRN
Nurse Practitioner (Family)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900
MCLEAN COUNTY NEUROLOGY SC
Psychiatry & Neurology (Neurology)
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9461
DR. CURTIS J. HAYDEN M.D.
Specialist
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 662-9461
ELIZABETH ARDITH WILSON PA-C
Physician Assistant
2204 EASTLAND DR
BLOOMINGTON, IL 61704
McLean County (309) 661-6900

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 Herman Dick's NPI number?

The NPI number for Herman Dick is 1891891370. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Herman Dick located?

Herman Dick practices at 2204 Eastland Dr, Bloomington, IL 61704. The listed phone number is (309) 662-9461.

What is Herman Dick's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Herman Dick enrolled in Medicare?

Yes. Herman Dick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Herman Dick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Herman Dick reassigns Medicare benefits to 2 organizations: Advocate Health And Hospitals Corp. (Normal, IL) and Carle West Physician Group Inc (Normal, IL). 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 Herman Dick'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 Herman Dick was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.