Individual provider Active NPI

John Busclas, MD

  • Family Medicine Physician
  • Metropolis, IL
National Provider Identifier
1013411305
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.172020 Issued in IL
Practice address
1203 W 10TH St
Metropolis, IL 62960-2433
Phone
(618) 524-3795
Fax
(618) 524-3211
NPI assigned
Mar 21, 2018
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 59921 KY
Family Medicine Physician 207Q00000X 036.172020 IL Primary

Addresses

Primary practice location

1203 W 10TH St
Metropolis, IL 62960-2433

Mailing address

1203 W 10TH St
Metropolis, IL 62960-2433
Phone (618) 524-3795

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812000519 IL Practitioner - Family Practice 6103255781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Statera Health Care LLCGroup PAC ID 0244565729, 41 clinicians

Practice addresses (Care Compare)

1203 W 10TH St
Metropolis, IL 62960-2433
Phone (618) 524-3795

28 Chick St
Metropolis, IL 62960-2467
Phone (618) 427-2680

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.172020ILMDFamily Medicine Physician
59921KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients

Locations

1203 W 10th St
Metropolis, IL 62960
Phone (618) 524-3795

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

2605 Kentucky Ave
Ste 306
Paducah, KY 42003
Phone (270) 415-7653

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1013411305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 W 10TH ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629602433",
            "telephone_number": "618-524-3795",
            "fax_number": "618-524-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W 10TH ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629602433",
            "telephone_number": "618-524-3795",
            "fax_number": "618-524-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCLAS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "59921",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.172020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metropolis, IL

Sources for this page

Verify at the official NPI Registry.