Active NPI
John M Quinones, DO
- Family Medicine Physician
- Pekin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036071254
- Practice address
- 1800 Broadway St
Pekin, IL 61554-3822 - Phone
- (309) 346-3416
- Fax
- (309) 346-3449
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-071254 | IL | |
| Family Medicine Physician | 207Q00000X | 036071254 | IL | Primary |
Addresses
Primary practice location
1800 Broadway St
Pekin, IL 61554-3822
Mailing address
1800 Broadway St
Pekin, IL 61554-3822
Phone (309) 346-3416
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02922981 | Other | IL | BCBS |
| 071254 | Other | IL | OSF HEALTHPLANS |
| 014156 | Other | IL | HEALTH ALLIANCE |
| 036071254 | Medicaid | IL | |
| 200397 | Other | IL | BLACK LUNG |
| 180740 | Other | IL | HEALTH LINK |
| IL0103 | Other | IL | JOHN DEERE |
| 0062839 | Other | IL | UMWA |
| 1942315197 | Other | IL | NPI CLINIC NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-071254 | IL | MD | Emergency Medicine Physician |
| 036071254 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Emergency Medicine | Current | Accepting new patients |
| Mason Hospital District | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Graham Services Corporation | Family Medicine | Past | Accepting new patients |
Locations
2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464
615 N Promenade St
Havana, IL 62644
Phone (309) 543-8510
1800 Broadway St
Pekin, IL 61554
Phone (309) 346-3416
5401 N Knoxville Ave
Ste 204
Peoria, IL 61614
Phone (309) 683-1200
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
815 Main St
Ste A1
Peoria, IL 61602
815 Main St
Peoria, IL 61602
Phone (309) 672-4908
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030
1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Critical Access Hospital
- Havana, IL
- NPI 1902849649
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
Emergency Medicine
-
- Family Medicine Physician
- Canton, IL
- NPI 1942315197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1063520021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BROADWAY ST",
"city": "PEKIN",
"state": "IL",
"postal_code": "615543822",
"telephone_number": "309-346-3416",
"fax_number": "309-346-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BROADWAY ST",
"city": "PEKIN",
"state": "IL",
"postal_code": "615543822",
"telephone_number": "309-346-3416",
"fax_number": "309-346-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "JOHN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-071254",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036071254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02922981",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSF HEALTHPLANS",
"identifier": "071254",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "014156",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036071254",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "200397",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "180740",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "IL0103",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "0062839",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI CLINIC NUMBER",
"identifier": "1942315197",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.