NPIMap

Individual provider Active NPI

John Rinker, DO

  • Family Medicine Physician
  • Pontiac, IL
National Provider Identifier
1255449393
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036074643 Issued in IL
Practice address
1515 W Reynolds St
Pontiac, IL 61764-9673
Phone
(815) 842-3381
Fax
(815) 842-2861
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036074643 IL
Emergency Medicine Physician 207P00000X 02002903A IN
Family Medicine Physician 207Q00000X 036074643 IL Primary

Addresses

Primary practice location

1515 W Reynolds St
Pontiac, IL 61764-9673

Mailing address

1515 W Reynolds St
Pontiac, IL 61764-9673
Phone (815) 842-3381

Other identifiers 2

IdentifierTypeStateIssuer
5300107OtherILBLUE CROSS BLUE SHIELD
036074643MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031107000498 IL Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0749193555 Reassigns benefits to 3 organizations
Practice locations: Pontiac, IL

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1515 W Reynolds St
Pontiac, IL 61764-9673
Phone (815) 842-3381

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002903AINMDEmergency Medicine Physician
036074643ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2016 Accepting new patients
Saint James Hospital CurrentSince Sep 6, 2011 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
24 On Physicians, P.C. CurrentSince Apr 4, 2016 Accepting new patients
24 On Physicians, PC CurrentSince Apr 4, 2016 Accepting new patients
Saint James Hospital CurrentSince Sep 6, 2011 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Passages Hospice, LLC PastSince Feb 27, 2013 Accepting new patients
John W. Rinker Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

106 S 1st St
Fairbury, IL 61739
Phone (815) 635-3177

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1515 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-3381

2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828

600 E 1st St
Spring Valley, IL 61362
Phone (815) 664-1477

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1255449393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649673",
            "telephone_number": "815-842-3381",
            "fax_number": "815-842-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649673",
            "telephone_number": "815-842-3381",
            "fax_number": "815-842-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINKER",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036074643",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02002903A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036074643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5300107",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074643",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, IL

Sources for this page

Verify at the official NPI Registry.