Individual provider Active NPI

James S Fister, M.D.

  • Orthopaedic Surgery Physician
  • St Charles, IL
National Provider Identifier
1174631188
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036059573 Issued in IL
Practice address
36W431 Hunters Gate Rd
Saint Charles, IL 60175-5129
Phone
(630) 584-7397
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 036059573 IL
Orthopaedic Surgery Physician 207X00000X 036059573 IL Primary

Addresses

Primary practice location

36W431 Hunters Gate Rd
Saint Charles, IL 60175-5129

Mailing address

36W431 Hunters Gate Rd
Saint Charles, IL 60175-5129
Phone (630) 584-7397

Other identifiers 6

IdentifierTypeStateIssuer
208821OtherMEDICARE GRP KANE
200015630OtherRR MEDICARE
CE6001OtherRR MEDICARE GRP-KANE CTY
036059573MedicaidIL
207906OtherMEDICARE GRP-MCH
CG2631OtherRR MEDICARE GRP-MCHENRY C

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
I20251030004144 IL Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 2163319781

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036059573ILMDOrthopaedic Surgery of the Spine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1174631188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36W431 HUNTERS GATE RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601755129",
            "telephone_number": "630-584-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36W431 HUNTERS GATE RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601755129",
            "telephone_number": "630-584-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISTER",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": "036059573",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036059573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP KANE",
            "identifier": "208821",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200015630",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP-KANE CTY",
            "identifier": "CE6001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059573",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP-MCH",
            "identifier": "207906",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP-MCHENRY C",
            "identifier": "CG2631",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.