Active NPI
Justin Lee Fischer, MD
- Colon & Rectal Surgery Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 036139889
- Practice address
- 1001 Main St
Ste 300
Peoria, IL 61606-2036 - Phone
- (309) 495-0201
- Fax
- (309) 676-6545
- NPI assigned
- Nov 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 036139889 | IL | Primary |
Addresses
Primary practice location
1001 Main St
Ste 300
Peoria, IL 61606-2036
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Other practice location 1
210 Saint Joseph Dr
Bloomington, IL 61701-3636
Phone (309) 684-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36139889-1 | Medicaid | IL |
Other names 1
- Justin Lee Fischer
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 Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Southern Illinois University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1001 Main St
Suite 300
Peoria, IL 61606-2036
Phone (217) 528-7541
210 Saint Joseph Dr
Bloomington, IL 61701-3636
Phone (309) 684-9100
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
Hospital & facility affiliations
- St Joseph Medical Center
- Carle Health Methodist Hospital
- Carle Health Proctor Hospital
- Saint Francis Medical Center
- Memorial Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 75 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036139889 | IL | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Pekin Prohealth Inc | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
210 Saint Joseph Dr
Bloomington, IL 61701
Phone (309) 663-5050
615 N Promenade St
#530
Havana, IL 62644
Phone (309) 543-4431
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
600 S 13th St
#I
Pekin, IL 61554
Phone (309) 495-0200
1001 Main St
Ste 500A
Peoria, IL 61606
Phone (309) 672-4980
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
1001 W Main St
Peoria, IL 61606
Phone (309) 495-0200
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
1001 W Main St
Fl 3
Peoria, IL 61606
Phone (309) 495-0200
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
7309 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-0827
1001 Main St
Ste 300
Peoria, IL 61606
Phone (309) 495-0200
815 Main St
Ste A1
Peoria, IL 61602
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
1025 S 6th St
Springfield, IL 62703
Interoperability endpoints
- fischer@peoria.directbygreenway.com
- justin.fischer.1@28977.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health | Rural health clinic | Limited Partnership Interest | Oct 1, 2020 |
| Springfield Clinic Nokomis Rural Health | Rural health clinic | Limited Partnership Interest | Oct 1, 2020 |
| Springfield Clinic Raymond Rural Health | Rural health clinic | Limited Partnership Interest | Oct 1, 2020 |
| Springfield Clinic Neoga Rural Health | Rural health clinic | Limited Partnership Interest | Oct 1, 2020 |
| Springfield Clinic, LLP | Rural health clinic | Limited Partnership Interest | Oct 1, 2020 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Raymond, IL
- NPI 1013255942
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Macomb, IL
- NPI 1730831157
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Neoga, IL
- NPI 1972790889
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Lincoln, IL
- NPI 1518143452
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Nokomis, IL
- NPI 1922285600
Limited Partnership Interest
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Family Medicine Physician
- Pekin, IL
- NPI 1932150299
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
-
- Ambulatory Surgical Clinic/Center
- Peoria, IL
- NPI 1720223837
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1730456914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19248",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949248",
"telephone_number": "217-528-7541",
"fax_number": "309-676-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN ST",
"address_2": "STE 300",
"city": "PEORIA",
"state": "IL",
"postal_code": "616062036",
"telephone_number": "309-495-0201",
"fax_number": "309-676-6545"
}
],
"practiceLocations": [
{
"address_1": "210 Saint Joseph Dr",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617013636",
"country_code": "US",
"telephone_number": "309-684-9100",
"fax_number": "309-684-9112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISCHER",
"first_name": "JUSTIN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-16",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "IL",
"license": "036139889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36139889-1",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUSTIN",
"last_name": "FISCHER",
"middle_name": "LEE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.