Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Minor, MD

Individual provider Surgery Physician · NPI 1891315610

Derek Minor, MD is a General Surgery in Peoria, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2020, 6 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1001 Main St
Peoria, IL 61606-1907
Phone: (309) 495-0200
Fax: (309) 676-6545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036175746 (IL)

Record details

NPI number1891315610
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing addressPo Box 19248, Springfield, IL 62794-9248

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2020 (6 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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