DR. JOHNNATAN MARIN (MD) – Emergency Medicine Physician, NPI 1164059259
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for DR. JOHNNATAN MARIN (MD)
530 NE GLEN OAK AVE
PEORIA, IL 616371005
Phone: (309) 655-2553
Fax: (309) 655-2602
Type: Location
405 W Jackson St
Carbondale, IL 629011462
Phone: (618) 549-0721
Fax: (618) 457-0469
Type: Location
2 S Hospital Dr
Murphysboro, IL 629663333
Phone: (618) 684-3156
Fax: (618) 529-0524
Type: Location
201 S 14th St
Herrin, IL 629483631
Phone: (618) 942-2171
Fax: (618) 351-4917
Type: Location
1611 NW 12th Ave
Miami, FL 331361005
Phone: (704) 302-4621
Type: Location
1611 NW 12TH AVE
MIAMI, FL 331361005
Phone: (704) 302-4621
Type: Location
130 NW 199TH ST
MIAMI, FL 331692919
Phone: (704) 302-4621
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230714002739 | I | Emergency Medicine | TX | TBD |
| I20230803003244 | I | Emergency Medicine | IL | TBD |
| I20230823002443 | I | Emergency Medicine | FL | TBD |
| I20240221000956 | I | Emergency Medicine | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 38 | 38 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 30 | 30 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 27 | 27 | $0 |
| 99291 | Critical care, first 30-74 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 61637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| Emergency Medicine | OH | |
| - | NV | |
| Emergency Medicine, Family Practice | TX | |
| - | TX | |
| Family Practice | TX | |
| Emergency Medicine | TX | |
| Family Practice | PA | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX |
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