JOHN V JURICA (M.D.) – Family Medicine Physician, NPI 1669556593

JOHN V JURICA (M.D.) is a healthcare provider. based in Kankakee, Illinois. specializing in Family Medicine Physician. They hold the professional credentials M.D.. The NPI Number for JOHN V JURICA (M.D.) is 1669556593

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JOHN V JURICA (M.D.)
NPI
1669556593
Phone
(815) 935-1787
Address
375 N WALL ST
Enumeration Date
25 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8479018400
Graduation Year
1983 (43 years ago)
PAC ID
3072403708
Group Practice PAC ID
6204158280
Professional Enrollment ID
I20040318000701
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for JOHN V JURICA (M.D.)

  • North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States

    SUITE P510

    KANKAKEE, IL 609013483

    Phone: (815) 935-1787

    Fax: (815) 935-2248

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($245).

Total Amount

$489

General + Research + Ownership

Payments

4

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040318000701IFamily PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204158280View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerWI
Physician AssistantIL
Physician AssistantIL
Physician AssistantIL
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantIL

Reviews

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Frequently asked questions

What is JOHN V JURICA (M.D.)'s NPI number?
JOHN V JURICA (M.D.)'s NPI is 1669556593 — the number used across U.S. healthcare to identify this provider.
Is JOHN V JURICA (M.D.) shown as active in public data?
Registry records indicate JOHN V JURICA (M.D.) maintains an active NPI.
How would a patient describe JOHN V JURICA (M.D.)'s focus?
For JOHN V JURICA (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JOHN V JURICA (M.D.) associated with Kankakee?
Public fields place JOHN V JURICA (M.D.) around Kankakee, Illinois. Always confirm the exact site before visiting.
Does JOHN V JURICA (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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