Individual provider Active NPI

Justin Lee Fischer, MD

  • Colon & Rectal Surgery Physician
  • Peoria, IL
National Provider Identifier
1730456914
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
036139889 Issued in IL
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

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
36139889-1MedicaidIL

Other names 1

  • Justin Lee Fischer Other name

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
I20170801003819 IL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 0143514331 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
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
Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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 Hospital, Bloomington, IL, CCN 140162
  • Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209
  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036139889ILMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois CurrentSince Jun 1, 2018 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 18, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Proctor Health Systems CurrentSince Jun 1, 2018 Accepting new patients
Pekin Prohealth Inc CurrentSince Jun 1, 2018 Accepting new patients
Springfield Clinic, LLP CurrentSince Aug 1, 2020 Accepting new patients
Proctor Health Systems Current Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Proctor Health Systems CurrentSince Jun 1, 2018 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

  • Direct secure messaging: fischer@peoria.directbygreenway.com
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Springfield Clinic Lincoln Rural HealthLincoln, IL, CCN 143925 Rural health clinic Limited Partnership Interest Oct 1, 2020
Springfield Clinic Nokomis Rural HealthNokomis, IL, CCN 783814 Rural health clinic Limited Partnership Interest Oct 1, 2020
Springfield Clinic Raymond Rural HealthRaymond, IL, CCN 783829 Rural health clinic Limited Partnership Interest Oct 1, 2020
Springfield Clinic Neoga Rural HealthNeoga, IL, CCN 783812 Rural health clinic Limited Partnership Interest Oct 1, 2020
Springfield Clinic, LLPMacomb, IL, CCN 783855 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.

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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.