Individual provider Active NPI

Robert Joseph Tiffin Jr., MD

  • Family Medicine Physician
  • Marion, IL
National Provider Identifier
1023084308
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
2401 W Main St
Veterans Admin Hosp
Marion, IL 62959-1194
Phone
(618) 998-5617
Fax
(618) 998-5697
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

2401 W Main St
Veterans Admin Hosp
Marion, IL 62959-1194

Mailing address

2401 W Main St
Veterans Admin Hosp
Marion, IL 62959-1194
Phone (618) 998-5617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112001893 IL Order and Referring Only - Family PracticePractitioner - Family Practice 2961683982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023084308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W MAIN ST",
            "address_2": "VETERANS ADMIN HOSP",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591194",
            "telephone_number": "618-998-5617",
            "fax_number": "618-998-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W MAIN ST",
            "address_2": "VETERANS ADMIN HOSP",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591194",
            "telephone_number": "618-998-5617",
            "fax_number": "618-998-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFIN",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.