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

Victor Javier Medina, MD

Individual provider General Practice Physician · NPI 1417659160

Victor Javier Medina, MD is an Internal Medicine in Kewanee, Illinois. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in California, Florida and Illinois.

Years since qualifying
3
Licensed in
CA, FL, IL
In the registry since
2023
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

519 Elliott St Ste S1
Kewanee, IL 61443-2776
Phone: (309) 853-2442
Fax: (309) 853-3640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 W Arbor Dr # Mc8425, San Diego, CA 92103-1911 — (619) 543-6268

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.177031 (IL)
General Practice Physician Taxonomy 208D00000X · Licence 036.177031 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Physician Taxonomy 208D00000X · Licence A197207 (CA)
General Practice Physician Taxonomy 208D00000X · Licence ME1777341 (FL)

Record details

NPI number1417659160
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare