Mjm Family Medicine SC
NPI 1093412686ActiveOrganization· Family Medicine· Peoria, IL
Family Medicine in Peoria, Illinois, registered in NPPES in February 2023. The authorized official on file is Matthew J. McMillin, MD, Physician/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093412686 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2023 |
| Last updated in NPPES | Feb 14, 2023 |
| Certified by provider | Feb 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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