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

Jason Tao Kan, MD

Individual provider Emergency Medicine Physician · NPI 1164787149

Jason Tao Kan, MD is an Emergency Medicine in Peoria, Illinois. Qualified in 2012, 14 years ago. Practices with Main Line Emergency Med Associates LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
14
Licensed in
IL, PA
In the registry since
2012
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) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD465853 (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125061616 (IL)

Record details

NPI number1164787149
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2012
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Main Line Emergency Med Associates Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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