Johnnatan Marin, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036165712 Issued in IL

Practice address

530 NE Glen Oak Ave
Peoria, IL 61637-1005

Phone

(309) 655-2553

Fax

(309) 655-2602

NPI assigned

Mar 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IL, FL, IN4 enrollments

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 4

Specialty

Emergency Medicine

Education

George Washington University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Emergency Physicians PCGroup PAC ID 2769384213, 79 clinicians

Canyon Springs Emergency Medicine Associates PAGroup PAC ID 2769728641, 63 clinicians

McAllen Emergency Medicine Associates PAGroup PAC ID 1557686409, 79 clinicians

Municipal Emergency Medicine Associates, PAGroup PAC ID 2365701323, 51 clinicians

Oak Creek Emergency Medicine Associates PAGroup PAC ID 4385988385, 70 clinicians

Southern Illinois Medical Services NFPGroup PAC ID 3678677390, 331 clinicians

Shavano Emergency Medicine Associates, PAGroup PAC ID 2062777634, 47 clinicians

Edinburg Emergency Medicine Associates PAGroup PAC ID 9638246408, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harrisburg Medical Center Hospital, Harrisburg, IL, CCN 140210
• South Texas Health System Hospital, Edinburg, TX, CCN 450119
• Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
• Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
• Herrin Hospital Hospital, Herrin, IL, CCN 140011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern Illinois Medical Services, NFP

  • Internal Medicine Physician
  • Carbondale, IL
  • NPI 1770656837
  Medicare reassignment Care Compare group NPD
• Canyon Springs Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Alamo, TX
  • NPI 1154825412
  Medicare reassignment Care Compare group NPD
• Edinburg Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1942467113
  Medicare reassignment Care Compare group NPD
• McAllen Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • McAllen, TX
  • NPI 1336543636
  Medicare reassignment Care Compare group NPD
• Municipal Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1396250650
  Medicare reassignment Care Compare group NPD
• Oak Creek Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • McAllen, TX
  • NPI 1629576632
  Medicare reassignment Care Compare group NPD
• Professional Emergency Physicians PC

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1144215096
  Medicare reassignment Care Compare group NPD
• Shavano Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1255820775
  Medicare reassignment Care Compare group NPD
• Belvidere Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Belvidere, IL
  • NPI 1306543319
  Medicare reassignment NPD
• Rockford Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Rockford, IL
  • NPI 1639876634
  Medicare reassignment NPD
• Community Hospital of Lagrange County Inc

  • Critical Access Hospital
  • Lagrange, IN
  • NPI 1679674956
  Medicare reassignment NPD
• Emergency Professionals of Indiana, P.C.

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1013951219
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harrisburg Medical Center Inc

  • General Acute Care Hospital
  • Harrisburg, IL
  • NPI 1073580130
  Care Compare affiliation
• Southern Illinois Hospital Services

  • General Acute Care Hospital
  • Carbondale, IL
  • NPI 1093801797
  Care Compare affiliation
• Southern Illinois Hospital Services

  • General Acute Care Hospital
  • Herrin, IL
  • NPI 1528158573
  Care Compare affiliation
• Community Hospital of Noble County, Inc.

  • General Acute Care Hospital
  • Kendallville, IN
  • NPI 1457366189
  Care Compare affiliation
• McAllen Hospitals L P

  • Cardiac Rehabilitation Clinic/Center
  • McAllen, TX
  • NPI 1043849425

  Hospital

  Care Compare affiliation
• McAllen Hospitals L P

  • Psychiatric Hospital Unit
  • Edinburg, TX
  • NPI 1053301754
  Care Compare affiliation
• McAllen Hospitals L P

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1770573586
  Care Compare affiliation

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1164059259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NW 199TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692919",
            "telephone_number": "704-302-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616371005",
            "telephone_number": "309-655-2553",
            "fax_number": "309-655-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011462",
            "country_code": "US",
            "telephone_number": "618-549-0721",
            "fax_number": "618-457-0469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629663333",
            "country_code": "US",
            "telephone_number": "618-684-3156",
            "fax_number": "618-529-0524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483631",
            "country_code": "US",
            "telephone_number": "618-942-2171",
            "fax_number": "618-351-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "704-302-4621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIN",
        "first_name": "JOHNNATAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME156427",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U3937",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01092367A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036165712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcin Dental Centers PC
• Mark K Werking, DC, SC
• Tracie M Markey, APN
• Teresa Ann Marksity-Leach, LCSW
• Rafael Marquez, MD
• Jessica Marquis

• Emergency Medicine Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.

Verify at the official NPI Registry.