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

Dr. Justin R Johnson, MD

Individual provider Emergency Medicine Physician · NPI 1861653149

Dr. Justin R Johnson, MD is an Emergency Medicine in Peoria, Illinois. Qualified in 2008, 18 years ago. Practices with Sarah Bush Lincoln Health Center, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2008
Specialties on file
2
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

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 269-5908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Health Center Dr, Mattoon, IL 61938-4644 — (217) 258-2551

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036-126238 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125054592 (IL)

Record details

NPI number1861653149
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2008
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Sarah Bush Lincoln Health Center — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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