Active NPI
John Deforest, D.O.
- Family Medicine Physician
- Beecher, IL
National Provider Identifier
1003842964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 336051704
- Practice address
- 715 S Dixie Hwy
Beecher, IL 60401-3668 - Phone
- (708) 946-9330
- Fax
- (708) 946-2471
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 336051704 | IL | Primary |
Addresses
Primary practice location
715 S Dixie Hwy
Beecher, IL 60401-3668
Mailing address
715 S Dixie Hwy
Beecher, IL 60401-3668
Phone (708) 946-9330
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036089998 | Medicaid | IL | |
| 9925692 | Other | IL | BC/BS |
| 080154175 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060725000107 | IL | Practitioner - Family Practice | 9931112604 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Chicago College of Osteopathy, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
715 S Dixie Hwy
Beecher, IL 60401-3668
Phone (708) 946-9330
Hospital & facility affiliations
- Franciscan Home Care
- Providence at Home
- Enhabit Home Health
- Northwestern Medicine Central Dupage Hospital
- Franciscan Health Olympia & Chicago Heights
- Riverside Medical Center
- Franciscan Health Crown Point
- Franciscan Health Dyer
- Beecher Manor NRSG & Rehab Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.99 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 63.32
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336051704 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John R Deforest D.O. S.C. | Family Medicine | Current | Accepting new patients |
Locations
715 Dixie Hwy
Beecher, IL 60401
Phone (708) 946-9301
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Beecher, IL
- NPI 1285750992
Nursing home
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
-
- Home Health Agency
- Des Plaines, IL
- NPI 1730632423
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
Hospital
-
- Home Health Agency
- Chicago Heights, IL
- NPI 1508885930
-
- Home Health Agency
- Homer Glen, IL
- NPI 1568461820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1003842964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 S DIXIE HWY",
"city": "BEECHER",
"state": "IL",
"postal_code": "604013668",
"telephone_number": "708-946-9330",
"fax_number": "708-946-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S DIXIE HWY",
"city": "BEECHER",
"state": "IL",
"postal_code": "604013668",
"telephone_number": "708-946-9330",
"fax_number": "708-946-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFOREST",
"first_name": "JOHN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "336051704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089998",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "9925692",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080154175",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Beecher, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.