Active NPI
John M Schruefer, MD
- Internal Medicine Physician
- Rockville, MD
National Provider Identifier
1003875808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101238887
- Practice address
- 9420 Key West Ave
#204
Rockville, MD 20850-3334 - Phone
- (630) 725-2730
- Fax
- (844) 205-5691
- NPI assigned
- Mar 21, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | D0065238 | MD | |
| Emergency Medicine Physician | 207P00000X | 0101238887 | VA | |
| Internal Medicine Physician | 207R00000X | 0101238887 | VA | Primary |
Addresses
Primary practice location
9420 Key West Ave
#204
Rockville, MD 20850-3334
Mailing address
2001 Butterfield Rd
Ste 300
Downers Grove, IL 60515-1069
Phone (630) 725-2730
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540490687003 | Other | VA | TRICARE |
| 010201942 | Medicaid | VA | |
| 1003875808 | Other | VA | NPI |
Other names 1
- Dr. John Schruefer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0065238 | MD | MD | Phlebology Physician |
| 0101238887 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Emergency Medicine Physicians, LLC | Past | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients | |
| USA Vein Clinics of Chantilly LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Care Clinic/Center
- Hagerstown, MD
- NPI 1205826724
-
- Surgery Physician
- Woodstock, VA
- NPI 1407357015
-
- Vascular Surgery Physician
- Chantilly, VA
- NPI 1124670930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1003875808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD",
"address_2": "STE 300",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151069",
"telephone_number": "630-725-2730",
"fax_number": "844-205-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9420 KEY WEST AVE",
"address_2": "#204",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503334",
"telephone_number": "630-725-2730",
"fax_number": "844-205-5691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRUEFER",
"first_name": "JOHN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "MD",
"license": "D0065238",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101238887",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101238887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "540490687003",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010201942",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003875808",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "SCHRUEFER",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.